HomeMy WebLinkAboutBuilding Permit Applicatio ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q I
Date: Permit Number:
Otto
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 X
PERMIT APPLICATION FOR: WINDOWS/DOORS
APROPOS,ED, hM P�ROVENI ENT LOCATION
Address: 5915 NICOLE LANE,FORT PIERCE,FL 34951
Legal Description:PORTOFINO SHORES-PHASE 2-(PB 43-33)
Property Tax ID#:1312-502-0043-000-5 Lot No.36
Site Plan Name: Block No.
Project Name:STEPHEN&DEBORAH PARISEAU
Setbacks Front Back: Right Side: Left Side:
C3ETA1'LED'DESCRI'PTI0N OF WORK' 'n
Replace 18 Windows& 2 Doors
,CONSTRUCT]O;N A N FORMATION
�. ...
Additionalwor toa er orme under this permit—check a apply:
❑HVAC E]Gas Tank F]Gas Piping _Shutters X❑Windows/Doors
❑Electric ❑Plumbing ❑Sprinklers ❑Generator ❑Roof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 39,000.00 utilities1 ewer❑Septic Building Height:
Y � ,,
OWNER/LESSEE CONTRACTOR':`"
Name STEPHEN&DEBORAH PARISEAU Name:DAN BECKNER
Address: 5915 NICOLE LANE Company:PARADISE EXTERIORS LLC
City: FORT PIERCE State: FL Address:1918 CORPORATE DR
Zip Code: 34951 Fax: City:BOYNTON BEACH State:FL
Phone No. 810-516-5868 Zip Code: 33426 Fax:
E-Mail: Phone No. 561-732-0300
FIII in fee simple Title Holder on next page( if different E-Mail: paradiseexteriorsllc(a,email.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.
SUP tEMENTAL` CONSTRUCTION"A'LI'EN"LA1N'IN§FvwAT E,N .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 certifythat 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 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
commencing work or recording our Notice of Commencement.
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ignature f Owner Agent/Lessee Signat6re ,f Contractor/License-Holder
STATE OF FLORIDASTATE OF FLORIDA
COUNTY OF_ �� �����' ( � COUNTY OF -`�A • I
The forgoing instrumknt was acknowledged before me The fo oIng instrument was acknowledged before me
this id day of + (� 20 by this day of 1 9 ,201 by
NI,6E 3eCIc
(Name of perso ckno edging) (Name of person acknowledging ` oFF fl\aP �,jy�"�4'gR�r7`
t<.
VP
,•• Eo�d Fxp/� 7sS/Cv,�7r c�
�b'Th2�✓oS�'Ari�#G�'2� -9
(Signature of ary Public-State of Florida) (Signature of Notary Public- tate of Florida
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
vAk °7;^W;'EGASA
Commission No. lea mmission No. `
'�Si .;#GG 205763
MYCAp E`SH� C'� 9r•. _cit EXPIRES:Ap•,il90,2022
EXPIRES 72
S u !1Cn ertm er
��ba 22,2019 �trssy��ce:
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS