HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I C., Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982LMJ
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Windows
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PROPi75E13�
Address: 6305 S HEADER CANAL RD FORT PIERCE,FL 34987
Legal Description: 14 36 38 N 1/2 OF N 1/2 OF NE 1/4-LESS N 151.97 FT
FT of S `Iz. of
Property Tax ID#:3214-113-0004-000-1 Lot No.
Site Plan Name: Block No.
Project Name: GEORGE &JUDY LANDRY
Setbacks Front Back: RightSide: Left Side:
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`CtETAILED DESCRIPTION OF WORK
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Replace 14 Windows
CONSTRUCTI' N€INFORMATION
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Additional
,worx}to. e performed under this permit—check k all appy:
❑HVAC Gas Tank ❑Gas Piping _Shutters X Wlndows/Doors
Electric ❑Plumbing []Sprinklers ❑Generator ❑Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 25,000 Utilities:11Sewer❑Septic Building Height:
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OWNERt LESSEE ,4� ;, ��`' '- : _IDjT'RAGTOR: t��� �
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Name GEORGE &JUDY LANDRY Name:DAN BECKNER
Address: 6305 S HEADER CANAL RD Company:PARADISE EXTERIORS LLC
City: FORT PIERCE State: FL Address:1918 CORPORATE DR
Zip Code: 34987 Fax: City:BOYNTON BEACH State:FL
Phone No. 313-410-5605 Zip Code: 33426 Fax:
E-Mail: Phone No. 561-732-0300
Fill in fee simple Title Holder on next page( if different E-Mail:paradiseexteriorsllc(a,gmail.com
from the Owner listed above) State or County License:SCC131150472
If value of construction is$7500 or more,a RECORDED Notice of Commencement is required.
I-'SUPPLEMENTAL CONSTRUCTION�LIENf LAW,INFO{RMATION orf ¢�
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 certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County make no repre*entation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict wit 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 o an attorney before
commencing work or recording our Notice of Comm
Signat of Owe /Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORII)t STATE OF FLORIDA I
COUNTY OF �I-,.[A )C(6 COUNTY OF Wit-• L..uc—
The forgping instru eas acknowledged before me The forgoing instrument was acknowledged before me
this Oday of nt 20�by this day of O ,20� by
(Name of person ack a ging) {Name of person acknowledging}
(Signature of Not Public-State of Florida) (Signature of Notary Public-State of Florida}
Personally Known ✓ OR P Personally Known ✓OR Produced Identification
Type of Identification Produced = els Type of Identification Produced
J�I Y,�C�OtMMISSION#FF246672
Commission No. oF�oPe�(�Qwn�tEs:sepcemberzz,2o19 Commission No. __(Seale_
g hr.r•r.4i t<I�hB1YERLY•MARIE CASA
265763
Revised 07/15/2014 = r' EXPIRES:April 1o,2a22
Bonded Thru notary Pubic Underwriters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS