HomeMy WebLinkAboutBuilding Permti ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED C n�
Date: Permit Number:
s
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 7901 WINTER GARDEN PKNNA, FONT PIERCh:, FL 34951
Legal Description: L.AKEWOOD PARK-UNIT 5- BLK 49 I,0T10
Property Tax ID#:1301-605-0242-000-2 Lot No.
Site Plan Name: Block No.
Project Name:SPENCER & DANIEL & ANNE VANLIESHOUT
Setbacks Front Back: Right Side: Left Side:
[DETAILED DESCRIPTION OF WORK:
Replace 7 WindoNN s
CONSTRUCTION INFORMATION:
Additional work to be performed under t ispermit—check III apply:
HVAC 0 Gas Tank Gas Piping Shutters 12 Windows/Doors
11 Electric ❑ Plumbing []Sprinklers E]Generator ❑Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 9,000 Utilities: Sewer L Septic Building Height:
OWN ER/LESSEE: CONTRACTOR:
Name SPENCER& DANIEL& ANNE VANLIESHOUT Name:DAN BECKNER
Address: 7901 WINTER GARDEN PKWY Company: PARADISE EXTERIORS IAX
City: FORT PIERCE State: FL Address:1918 CORPORATE DR
Zip Code: 34951 Fax: City:BOYNTON BEACH State:FL
Phone No. 609-703-4125 Zip Code: 33426 Fax:
E-Mail: Phone No. 561-732-0300
Fill in fee simple Title Holder on next page( If different E-Mail: pa►•adiseexteriorslic(d<omail.com
from the Owner listed above) State or County License:SCC;131150472
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 Countv make no represent tion 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 covenantsthat 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
commenci or_pxvMWg your Notice of Commencement.
lg Ow Age /Lessee Signature of Contractor/License Holder
STATE OF FLORIDA 1 STATE OF FLORIDA
COUNTY OF „�'�y_ 1�.)L'I� COUNTY OF SA_ L.Lx__ C
The forgoing instr t wa acknowledged efore me The forgoing instrument was acknowledged before me
this day of 20 by this day of U `7 20��6y
< "uf
( me of person acknowled (Name of person acknowledging}
(Signature of Not li tate of Florida} (Signature of Notary Public-State of Florida}
Personally Kno :n OR Produced Identification Personally Known -- VR-froduced Identification
Type of Identification Produced Type of Identification Produced
VPU� (g¢�MES HOWELL
Commission No. <� Commission No. ,`?R� Y�' $eal MB.:~''
x� \11 L(?VAtISSIOti�FF_'4667'_ �hil coLYMAR! ( ttS
i :. MY C'OMMiS ON��GQ
EXPIRES.September .�b�y �:•, Si 20 3
Jim ondeu"mry f7far Dublin Urw��yr n
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS