HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: !-Aas� 1d Permit Number.
RECEIVED
Building Permit Application'
MAY 2 5 '018
Planning and Development Services
Building and Code Regulation Division I_ucie County, Permitting
2300 Virginia Avenue,Fort Pierce Ft 34,982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: -ahtotef—W •` nad�S
PROPOSED IMPROVEMENT LOCATION:
Address: 5108 E SEMINOLE RD, FORT PIERCE, FL 34951
Legal Description: LAKEWOOD PARK-UNIT 3-BLK 20 LOTS 29 AND 30
Property Tax ID#:1301-603-0117-000-1 Lot No.
Site Plan Name: Block No.
Project Name:WILLIAM& ELIZABETH TROMBLEY
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 15 Windows
CONSTRUCTION INFORMATION:
Additional work toa er orme under this permit-check a appy:
HVAC E]Gas Tank OGas Piping Shutters Windows/Doors
Electric ❑Plumbing 05prinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 21,000 utilities:11Sewer n Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name WILLIAM & ELIZABETH TROMBLEY Name:DAN BECKNER
Address: 5108 E SEMINOLE RD Company: PARADISE EXTERIORS LLC
City: FORT PIERCE State: FL Address:1918 CORPORATE DR
Zip Code: 34951 Fax: City:BOYNTON BEACH State:FL
Phone No, 603-252-7463 Zip Code: 33426 Fax-
E-Mail: Phone No. 561-732-0300
Fill in fee simple Title Holder on next page( if different E-Mail:paradiseexteriorsllc(&gmail.com
from the Owner listed above) State or County License:SCC131150472
11 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
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Signatur of caner/Agent/Lesse Signatur of Contractor/Licen`s7�'MoF�sc�__
E;�LW""'
STATE OF FLORIDA STATE OF FLORIDA 1
COUNTY OF 61 • I,tk C:II COUNTY OF
The for The instrument as acknowledged efore me The f oing instr ent was acknowledged,before me
this r day of 20 by this -5�day of y 20 7 by
T\PA(t
o i)C)em 6 LEV
{Name of person ackno, ledgi {Name of person acknowledging)
i
{Signature of Not ubl�5tate of Florida} {Signature of Notary Public-State of Florida}
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
KIMBERLY MARIE CASA
Commission No. � � eaI�AMES HOWEL C mmission No. = +(S p�1SSI0N#GG20
nry COMMISSION 4 FF2 2 a :a EXPIRES:April 10,2022
+, o:r Mtm Puligic
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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