HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �2
Date: Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce Ft 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: WINDOWS
%OP0SE6NMPRaVt_'M'ENT,L'dCATIt7N
Address: 1292 NETTLES BLVD,JENSEN BEACH,FL 34957
Legal Description:NETTLES ISLAND
Property Tax ID#:4502-501-1479-000-6 Lot No.
Site Plan Name: Block No.
Project Name:HIP BRAMMER (K D C PROPERTY MANAGEMENT LLC
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION;O"F 1NORK `" fx `s
Replace 15 Windows
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Additionalwor toa er orme un er this permit-check a p y
ap :
❑HVAC E]Gas Tank ❑Gas Piping nGenerator
Shutters E]Windows/Doors
1:1Electric ElPlumbing ❑Sprinklers ❑Roof
Total Sq.Ft of Construction: STFt.of First Floor:
Cost of Construction:$ 15,000 Utilities: ❑Septic Building Height:
Q N E`RjLESSEE CON
TR CTORt
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Name KIP BRAMMER (K D C Pmperty Management) Name:DAN BECKNER
Address: 1292 NETTLES BLVD Company:PARADISE EXTERIORS LLC
City: JENSEN BEACH State: FL Address:1918 CORPORATE DR
Zip Code: 34957 Fax: City:BOYNTON BEACH State:FL
Phone No. 203-206-2844 Zip Code: 33426 Fax:
E-Mail: Phone No. 561-732-0300
Fill in feesimple Title Holder on next page( if different E-Mail:paradiseexteriorsllc(Dgmail.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.
SUPPLEMENTAL CONSTRUCTION LIENLAW INFORMrATION�
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:
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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 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 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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5 gna ure ner/Agent/Lessee Signature of Contractor/License o
STATE 00i COUNTY OF
FLORIDA
� � Cj COUNTY OF
The fo oing instrument was acknowledged before me The for instrument was acknowledged before me
this day of La 20 A by this_ja day of �- ,20_j� by
(Name of person ackno ing) k'- JAMESo=P
son acknowledging}
MY COMMIS ION 72 EXPIRES:S [ember 22,2019
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(Signature' otary Public-State of Florida} (Signature of Notary Public-State of Florida}
Personally Known V/ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No.
IMHRLY MARIE CASA
MY COMMISSION#GO 205763
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EXPIRES: ZUZZ
Revised 07/15/2014 FOF"°P eonMThruNotary'Publicu"derWrbs
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS