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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:iL
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34382
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential_
PERMIT APPLICATION FOR: W 1 IJ puW 5
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Address: 3126 OLD EDWARDS RD,FORT PIERCE,FL 34981
Legal Description:
PropertyTax ID#:2429-123-0001-300-1 Lot No.
Site Plan Name: Block No.
Project Name:LANCE&TONYA MILLS
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION ' Vt�6 K toa,
Replace 15I Windows
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CONSTRUCTION INFORMATION ` _ {
,Az„ ,. m .2��". `S.,Sam _ .v '�•. S . i .S,-„p, �. e..&'"s.
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Additional workkto�
Oa er orme under this permit—check a _apply:
HVAC be
Tank Gas Piping Shutte�rs
`i awindows/Doors
DElectric ❑Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 20,000 Utilities:11Sewer Septic Building Height:
01ICNER%LESSEE . ; ' ,,� n f ; ��ONTRACTOR
Name LANCE&TONYA MILLS Name:DAN BECINIER
Address: 3126 OLD EDWARDS RD Company:PARADISE EXTERIORS LLC
City: FORT PIERCE State: FL Address:1918 CORPORATE DR
Zip Code: 34981 Fax: City:BOYNTON BEACH State:FL
Phone No. 772-418-6723 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(fi;Lvmail.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.
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SUPPLEMENTALCQNSTRUCTIONlLIENLAII/ INFRMATIa�V
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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 County makes no represent tion that is granting a permit will authorize the permit holderto 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 r Notice of Commencement.
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Sin ur f 0 "ner Age /Le see Signature of Contractor/License Holder
STATE OF FLORIDASTATE OF FLORID„ ^
COUNTY OF y I CJ L( E COUNTY OF i&
The for oing instrument was acknowledged before me The fo�oing instrument was acknowledged before me
this,�day of 1�6 — 20by this T day of ,20 4 by
{Name of person acknowledging} (Name of person d7=-
42-" 1 - i(�J
(Signature of ary Public-State of Florida} (S u of Not ub -State of Florida)
ub
Personally Known J OR Produced Identification Person Known ✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. O eaihk4ES HOWELL mmission No. (Seal)
MY COMMISSION k FF2466
EWFINA
MY WMWSS�ON#GG 242750
Revised 07/15/2014 ExPIRES:Jul y 29,2022
_,yr�No e
..OF FL•• ,!
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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