HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 11
Date: 112612018 Permit Number: lj 0
Building,Permit Application
2
Planning and Develoement-services JAN 21 018
Building and Code Regulation Division
2300 VirginlaAv&nue,Fort Pierce.FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Wihdowldbor
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Address: 6502 PALOMAR PKWY,APT"A7
Legal Description: LAKEWOOD PARK-UNIT 12-A-BLK-173-A LOT 11 (MAP 1,3/13N)(OR 3639-2559)
Property Tax ID.#: 1301-615-0135-000-0 Lot No.11
site Plan Name: Block No. 173
Project Name: 6502Apt'A
Setbacks Front Back: Right Side: Left Side:
DE1AlLEQDESCRIPT R:Q F K,
1. Replace (8),NOn-Impact Windows W/Existing Shutters
2. Replace (2) Exierlor,Doors
[
P,R m CONSTRUCTION
Additional work to be nertormE is,permit—check all appy:l
[JHVAC Gas Tank E]Gas Piping appy
Windows/Doors
Electric Q Plumbing OSprinklers �Generator Q Roof Roof pitch
Total Sq.Ft of Construction: Sq. Ft.of First,Floor:
Cost of Construction]:$ 2000.00 Utilities:[]Sewer Septic Building,Height:
CONTRACTOR
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Name CSC INVESTMENTS PROPERTY LLC Name: MICHAEL CONRAN
Address:1001 S.E.MONTEREY RD Company: CONTRATOR SERVICES OF SOUTH FLORIDA LLC.
City:STUARTState:FL Address: 1001 S.E MONTERY RD
Zip Code:34994 i Fax: City;STUART State:FL
Phone No.7723613227 Zip Code: 34994
Fax:
E-Mail:SFCONTRACTOR@YAHOO.COM Phone No. 7723613227
Fill in fee simple Titleholder on next,page if.different E-Mail: SFCONTRA,GT.OR@YAHOO.COM
from the Owner listed above) State or County License: CB01261632
If value of construction Is$200 or more,a RECORDED Notice of Commencement is required.
S#JPP�EM�NT�L`CONS'ffiU��CTIQN LIEN �'AW INFQR�VIATIQN `" t
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DESiGNERANGINEER: Not Applicable MORTGAGE COMPANY: �Not Applicable
N a m e:Csc INVESTMENTS PROPERTY LLC N a me:141CHAEL.CONRAN
AdC resS:0502PALOMARPKWY.APT A Address: 1001 S.EMONTEREY RD
City: STUART State: City: STUART State:
Zip: 1 Phone :Zip: Phone:.
i
FEE SIMILE TrrL,E HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:90o1 s:E MONTEky Ro Address:
City: I City:
Zip: I Phone: Zip:. Phone:
I.
OWNER/CONTRkTOR AFFiDViT:Application is hereby made to obtain a.permit to do the work and installation as indicated.'
I certify that no-wbrk or installation has commented:prior to the issuance of a permit.
St Lucie Countyy make's no.representation that is granting a permit will authorixe;the permii-holder to build,the,subject structure
which is in.conflict vrith any applicable Home Owners Association rules,.bylaws oran, covenants that may restrictor prohibit such
structure.Please consult with your Home Owners Association and,review your deed for ai yrestrictions which mayapply.
Inconsideration 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 andSt.Lucie County Amendments.
The'following:building,permit applications are;exempt.from undergoing full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and°accessory uses to another non-residential use
WARNING TO OI NEK:Your failure to Record a.Notice of Commencement may result h your paying twice for
improvements to your property.A Notice of Commencement must,be recotcled and postedonthe.jobsite
before the first.inspection, If you intend to obtain financing,consult with len, r.or an attorney before
cornmencin ork' r record", our Notice of Commencement..
Signatur6 of owner/1_essee/ ontractor as Agent fo a Signatu bf Contractor/Licen a Holder
SPATE OF FLORIDA STATE OF FLORIDA -
COUNTY OF
COUNTY OF �-moo o m�ri
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The r oing'ins; ent was acknowledged before m = The for ping in"D ent was acknowledged�" fore s
thi
day-of t 20�by a s .� 1}is� ay of 20 y
Name of-person making statement Name of person making stateneiit
Personally Knownj OR.Produced Identification rsonally Known OR'Praduced.identification
Type of Ident' fi Type of Iden# Ica ..
Produced�yProduced
61 i
(5ignaturerof N ry PLblic-State of Florida' (Signature'of Not Public=State of Florida}'
Commission No. ! (Seal) Commission No. {Seal}
I
REVIEWS I FRONT ZONING -SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REViEW R€VIEW - REVIEW REVIEW REVIEW
DATE j
RECEIVED I
DATE
COMPLETED
Rev.8/2/17