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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date Permit Numb r: M:0 ��+ 7rr 717 _ - JAN 1 1 2p;p Building Permit Application Planning and Development Services Permitting Department Building and Code Regulation Division St. LUCie County, FL 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Window/door 3r rF - 3 f i Y PROPQSED IMPR01tEMENT LCJCATION &ins �_..� _ .� ...— . n�, .,..a Address: 12455 GRUMMAN WAY, PORT ST. LUCIE, FL 34987 Legal Description: TREASURE COAST AIRPARK LOT 81 AND THAT PART OF SEC 24 37 38 MPDAF Prope rtyTax ID#: 4224-501-0081-000-9 Lot No.81 Site Plan Name: Block No. Project Name: RICHARD HERRIFORD Setbacks Front Back: Right Side: Left Side: x aw'` »j;[a,:;�r "+r ^v�"'^`�� t.✓ :^c�»?K J"{"!y y_x4�p�/Y'".'`v'`�r; r fr z.% � s� 5 arm '�g.;' '�"a�g ^ � y x s ':zx' z e ,aa -! �(�-e � w►i nd�c�S c..v`� I i'��ac�-�- .���nc��S �+ C 3l STRI CTIGN IN 1Rli 1 11 I N ti f Additional work to be Derformed under this permit—check all that appy: F]HVAC Gas Tank 7Gas Piping 0 Shutters v Windows/Doors Electric Plumbing 0 Sprinklers I Generator Roof Roof pitch Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction:$ G.L Utilities:cn Sewer Septic Building Height: �€-.�;• ry,.a �{ ��a4°S`x r z( x' a'�'` SYry�" .sx , ��'"'✓ylas t 5,c` a "�'�:, � ,,wry h ;. r � �.ti Nx a-�n.� ?,",2 a �?r`�s ts�.: t�-'. QWI�ER/LESSEE �� �z� tONTRACOR x ti, N ��, � a ...; Name RICHARD HERRIFORD Name: Scott Berman Address:12455 GRUMMAN WAY Company: Florida Window and Door City: PORT ST. LUCIE State:FL Address: 1125 N. DIXIE HWY STE. D Zip Code: 34987 Fax: City: LAKE WORTH State:FL Phone No.406-223-2635 Zip Code: 33460 Fax: 561-624-8037 E-Mail:RHERF@EARTHLINK.NETPhone No. 561-340-4300 Fill in fee simple Title Halder on next page(if different E-Mail: Howard@floridawindowanddoor.com from the Owner listed above) State or County License: CGC-1509450 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. I c., amt„%k` �'.,,.;,� ,cam ,:r 73 - a '2 ,K y ,r'f ,, MA StI;PPLQ4,j A[.CU(�;ST JU Z 14QN L[E, A1N,” F k �T�{ d r � � 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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict smith any applicable Home C�..,ners 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 or an attorney before commencing work orrecording our Notice of Commencement. s Sio ature ot Owner/Lessee/Con actor as Agent for Owner Signature of Con r e older STATE OF FLORIDA-, STATE STATE OF FLORIDA C c� 1 COUNTY OF '� �-Ieaoi" COUNTY OF C atS� The forgoing instrLRent was acknowledge before me The forgoing instrument was acknowledged before me this jJ_day of 2e'' 20 by this–T day of 9,01 20 4—by RICHARD HERRIFORD Scott Berman (Name of person acknowledging) (Name of person acknowledging (Signature of Notary Public-State of Florida) (Signature o otary Public-State of Florida) Personally Known OR ProduJ�ed Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. '12111 Meeh, �S�I��I �����, Commission HOWARDSIMKOF�eal) d¢ R ., yCOI�fIP4ES394#99 d1NIN s� e �o4�ay Pabll�,S4e4®of FI©e�d� � ' J�`'`�� �y 6o¢nenlssl®n Expires Q�i1�9fl Revised 07/151 REVIEWS FRONT ZONING SUPERVISOR I PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS