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HomeMy WebLinkAboutBuilding Permit Application rFALLAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTS • Date: ! ' ezw Permit Nu JUL 2, 5 2918 MONA _ h,WE Building Permit Applicata $ermitting Department Planning and Development Services Building and Code Regulation Division St. Lucie County, FL 2300 Virginia Avenue,Fort Pierce FL 34382 Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: Shutter ,PRORi75ED IIVIhPROVEMENT`LOCAI"I' N w dx r, Address: 8207 PENSACOLA RD,FORT PIERCE,FL 34951 Legal Description:LAKEWOOD PARK-UNIT 6-BLK 58 LOTS 9, 10 Property Tax ID#:1301-606-0041-000-6 Lot No.9, 10 Site Plan Name: Block No.58 Project Name:CANDIDA&BRYAN BELLATNlY Setbacks Front Back: Right Side: Left Side: � ya 4,wIIG�"""--�✓ 1t ;A P �Ekw�i,' "(a $�, �d b ..d���✓< , F.,, z3`k, ��� a�� ,;: - k tb _! DETAILER;O RIPTI.0X OF 1'IVORK <. � 4 K 4 Replace 11 Windows& 2 Doors CQN5TRUCTI�N INEORMATIQN* r.Additional work to��ben er Orme un er this"permit-check a apply: ❑HVAC 1 Gas Tank ❑Gas Piping Shutters ( Windows/Doors 11 Electric 1:1 Plumbing Sprinklers _ enerator 1:1 Roof Total Sq.R of Construction: SFt.of First Floor: Cost of Construction:$ 15,500 UtllitiestSewer OSeptic Building Height: OV1fNER/LESSEE " `, „ CONTRACTOR ' ` t Name CANDIDA&BRYAN BELLAN1Y Name:DAN BECKNER Address: 8207 PENSACOLA 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. 772-643-3283 Zip Code: 33426 Fax: E-Mail: Phone No. 561-732-0300 Fill in fee simple Title Holder on next page( If different E-Mail: paradiseexteriorsllcra,2mail.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 Ci3,NSTRUcnb LIEN LAW INFORMATION' } _,x. ,a a.Po. ..'fir. ° at.,c�c..rc..,.. r, t •.,» ..,.'� + .`s:s'i anx.d Yd, s'.w�;t3^, k. a, � 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 certffythat no work or installation has commenced priorto the issuance of a permit. 5t.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subjects tructure 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. Slg t re of Owner/Agent/Lessee Signature of Contractor/License Holder STATE OF FLORIDA� STATE OF FLORID COUNTY OF �,�L : CdA/ 11 a COUNTY OF ��• L.VCe,-r— The forgoing instrume asacknowledged efore me The forgoing instrument was acknowledged before me this day of t 20,f-�j-by this��ay of 0-7 ,2Q�Loy e� (Name of-person ac kn le ing} (Name of person acknowledging} ;� (Signature of N ary Public- ate of Florida) (Signature of Notary Public-State of Personally Known OR Produced Identification Personally Known Produced 1 Type of Identification Produced Type of Identification Produced2 '� 9 Commission No. °<a"P�Bo� J $ S HOWELL Commission No. o�y �� � c (Seal) AG6j�G�C `r9 MY COES IS pt tuber 22 6 019 EXPIRES:Sep Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS