HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: x,0161 �`d Permit Number:
- = 7RECEIVED
Building Permit Application 2 6 2018
Planning and Development Services
Building and Code Regulation Division ST. unty, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: WINDOWS/ DOORS
PROPOSED IMPROVEMENT LOCATION:
Address: 13208 OKEECHOBEE RD, FORT PIERCE, FL 34945
Legal Description:
Property Tax ID#:2332-210-0003-000-2 Lot No.
Site Plan Name: Block No.
Project Name: MARK& THERESA ORTOLANI
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 35 Windows
CONSTRUCTION INFORMATION:
itlona wor to a er orme under this permit—c ec a appy:
HVAC Ei Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 40,000 Utilities:]Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name MARK&THERESA ORTOLANI Name:DAN BECKNER
Address: 13208 OKEECHOBEE RD Company:PARADISE EXTERIORS LLC
City: FORT PIERCE State: FL Address:1918 CORPORATE DR
Zip Code: 34945 Fax: City:BOVNTON BEACH State:FL
Phone No. 772-342-6162 Zip Code: 33426 Fax:
E-Mail: Phone No. 561-732-0300
i
Fill in fee simple Title Holder on next page( if different E-Mail: para diseexteriorsllc6i�gmail.com
from the Owner listed above) State or County License: SCC131150472
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required,
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures, swimming pools,fences,walls, signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
befor the first inspection. If u i e d to obtain financing, consult with lender or an attorney before
comm nc' work or recor ' ur t' e Vf Commencement.
a re of Owner A ent/rLks, Signature of Contractor/License Holder
STATE OF FLORIDA k, L STATE OF FLORID ,� ,n,�
COUNTY OF c`� V.L` i- COUNTY OF M� ''`
The forgoing instrument was acknowledged before The forgging instru In s wledge�before me
me this If day of .45.04.1f _20 i fBy this T day of L ,20. ,2-by
()ATI)tA N
(Name of person acknowledging) (Name of person ackn ledging)
(Signature of Notary Public-State of Florida) (Si nature o otaWrod
a lorid
Personally Known / OR Produced Ide i ' ersona Knownoduced Identification
Type of Identification Prod Ty Identificati
Aleptember
SION#FF246672
Commission No. ?_ EXp 22 2019 Commission No. JAN
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Revised 07/15/2014 =F p,` Y �xP`ResJU5a °�°"
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETA` SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS