HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ''$ g �� Permit Number: �$�$�da�
RECEIVED
Building Permit Applicatio AUG 0 9 ?018
Planning and Development Services
Building and Code Regulation Division I ST. Lucie County, Permitting
2300 Orginla Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential y_
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 5195 Tree Top Trail,Fort Pierce,FL 34951
Legal Description: 18 34 40 S 1/2 OF NE 1/4 OF NW 1/4 OF NE 1/4 OF NW 1/4 AND N 1/2 OF SE 1/4 OF NW 1/4 OF SE 1/4 OF NW 1/4-LESS E 30 Fr-
Property Tax ID#:1418-212-0010-000-0 Lot No.
Site Plan Name: Block No.
Project Name:Alan or Rebecca Gregory
Setbacks Front Back: RlghtSide: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 19 windows and7doors-4T
CONSTRUCTION INFORMATION:
ACICItlonal wor tor orme under this permit—c ec a appy:
HVAC IlGasTank ❑Gas Plping _Shutters 12 Windows/Doors
11 Electric EJ Plumbing [:]Sprinklers ❑Generator ❑Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 43;9 411 gcif cO 'CC Utllitles: Sewer❑Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Alan or Rebecca Gregory Name:Toby Tokes
Address: 5195 Tree Top Trail Company:Armorvue Window&Door
City: Fort Pierce State: FL Address:1000 Clint Moore Rd Ste 109
Zip Code: 34951 Fax: City:Boca Raton State:FL
Phone No. 772-467-0439 Zip Code: 33487 Fax:
E-Mail: Phone No. 561-988-4222
Fill in fee simple Title Holder on next page(if different E-Mail:permits(aDarmorvuexom
from the Owner listed above) State or County License:CRC1330842
If value of construction 6$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CON5TRUCTION LIEN LRW INFORMATION ` ���M {
s= .v ��,
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 certirythat no work or installation has commenced priorto the issuance of a permit.
St.Lucie Courttr makes no representation that is granting a Fa will authorize the permit holder to build the subject structure
which is in con lict with anY applicable Home Owners Assoc ation 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
co enci ork or",fecording your Notice of Commencement.
!SignatureOwner/Ag / essee'> Signature of ontra96r/Li nse Holder
STATE OF FLO IDA STATE OF FLO�IDA
COUNTY OF �tvyx 66R'C'h COUNTY OF JLlw-v becIrl"
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 9-5 day of 20_%by this day of :71,,A L ti 20_&by
C)"QL T(3�
J"f_person ackn led g) {Name of person acknowledging)
N7 ����
qk
{Signature of Notary Public-State of Florida} gnature of Notary Public-State of Florida}
Personally Known �0 OR Produced Identification Personally Known�)0 OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.C_oa .+R3 Notary Public State Cmr mis n No. C-jC>.7)LAT0 ea
Aimee D Rottler Ov o'ary Public State of da
My Commission GG 226980 ;R Aimee t7 Rottler
Mly Commission GO 224 110
v*joe7loires
137T17,T177—
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