HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE I FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
RECEIVED J °
Date: Permit Number:
SEP 0 7 2018R "��%10rT
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Planning and Development Services
Building and Code Regulation Division Pe rm i tti n (.,i a rt m e n t
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial 115_tAlafi T CO6nty, P-L,
PERMIT APPLICATION FOR: Window/door
RROPO'SED IIVIPROVEMENT:LOCATION1
Address: 15382 Navion Drive, Port St. Lucie, FL 34987
Legal Description: TREASURE COAST AIRPARK LOT 24 (2.90 AC) (OR 1795-2501)
Property Tax ID#: 4224-501-0024-000-2 Lot No.24
Site Plan Name: Block No.
Project Name: Brown,R-762
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
r
Replace 25 Windows, 2 Mulls, and 1 Door, Size for Size.
CONSTRUCTION 'NFORMATION
Additional work to e e orme under this permit—check a _appy:
HVAC be
Tank ❑Gas Piping Shutters Windows/Doors
a
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction:f S . Ft. of First Floor:
Cost of Construction:$ 1 Utilities:
Sewer Septic Building Height:
01NNER/LESSEE CQNTRACTOR ,
�_. - - _
Name Richard Brown Name: Mark Collins
Address: 153 Navion Drive Company: Window World of West Palm Beach
City: Port St. Lucie State:FL Address: 1500 N. Florida Mango Road, Suite 16B
Zip Code: 34987 Fax: City: West Palm Beach State:FL
Phone No.772-530-7791 Zip Code: 33409 Fax: (561)684-2050
E-Mail: Phone No. (561)684-2040
Fill in fee simple Title Holder on next page(if different E-Mail: westpalmbeach@windowworld.com
from the Owner listed above) State or County License: CBC1260052
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CQNSTRUCTI 0N LIEN LAW INFORMATION#
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DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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 roperty.A Notice of Commencement mus r orded and posted on the jobsite
before the fi on. If yo to obtain financing, co uIt rider o ey before
commen ' xk reco o tice of Commencem t.
s
Si ure of Owner/Lessee/Agent of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF PaimBeach COUNTY OF Palm Beach
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged- efore me
this—92!—d of 201Lby this ay of 2by
Mark Collins Mark Collins
(Na rson acknowledging) (Name of person acknowledging)
s
(Signature of Notary eA Iic-State Florida) (Signature of Notary ic-State ofAorida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
PAULA J. LEBLANC
Commission No. P�§")J. LEBLANC
`; =- :'�< N6S� Ipublic, State of Florida Commission No.
I•,1y Comm. expires Nov. 4, 2019 — •:^=
Notary Public, State of Florida
B Number FF 933886 ?, ;'. My comm. expires Nov, 4, 2019
Commission Number FF933866
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS