HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED '' l
Date: Permit NumEe �j•
RECE'VED
Building Permit ApplicationMAR 19 2019
Planning and Development Services ing Department
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 cie County, FL
Phone:(772)462-1553 Fax: (772)462-1578 Commercial
PERMIT APPLICATION FOR: WINDOWS/DOORS
PROPOSED I TPR WV MEN-=LOCATIQN
Address: 5107 FORT PIERCE BLVD,FORT PIERCE,FL 34951
Legal Description:LAKEWOOD PARK-UNIT 3-BLK 20 E 80 FT OF LOT 16
Property Tax ID#:1301-603-01.03-000-0 Lot No.
Site Plan Name: Block No.
Project Name.ALAN&LOURDES LUNA
Setbacks Front Back: RightSide: Left Side:
"R? a re h4 .'" p°.0 ,�5 ro 9
DETAILED DESCRIPTION OF WORK {
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Replace 10 Windows /VG v
:CONSTRUCTION 1NFORIUTAT.ION
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itiona worto a erorme under tispermit—check alln apply.
❑HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
❑Electric ❑Plumbing []Sprinklers ❑Generator ❑Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 17,122 Utilities:11Sewer❑Septic Building Height:
WN`ER/LESSEE
CONTRACTOR
Name ALAN&LOURDES LUNA Name:DAN BECKNER
Address: 5107 FORT PIERCE BLVD Company:PARADISE EXTERIORS LLC
City: FORT PIERCE State: FL Address:1918 CORPORATE DR
Zip Code: 34951 Fax: City:BOYNTON BEACH State:FL
Phone No. 772-494-9888 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$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENITAL CONSTRUCTION LIEN LAVI( IN,F.ORMATION `
, T
.
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 certlfythat no work or installation has commenced priorto the issuance of a permit.
St.Lucie County makes no represent tion 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.
�(�_�)k%�'-A (-L�-S lc�Q= I
gna re of w er gent/Lessee St ature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Saint Lucie COUNTY OF Saint Lucie
The forgoing instrument was acknowledged before me The fo ing instrument was acknowled ed before me
this 1 day of 20 a by this day of hexy-CNN ,20� by
1-4 ar-oo 6 IAJKIA
{Name of person acknowl ing} (dame of person acknowledging)
(Signatur otary Public-State of Florida} otary 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. '°� ea mmission N
JAMES HOWELL HER MRIFIRIZZI
MY COMMISSION#FF2466 '^ '= MY COMMISSION#GG006367
ori,, EXPIRES: eptem er EXPIRES dune 27,?020
Revised 07/15/2014 (407)3)1
0.9-0153 FloridaNc.[aYyService.com
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