HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
° Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: WINDOWS
PRORCISEDI`M°PROVEMENT;LOCATION.
Address: 12374 GRUMMAN WAY,PSL,FL 34987
Legal Description:TREASURE.COAST AIRPARK LOT 58
Property Tax ID#:4224-501-0058-000-9 Lot No. 58
Site Plan Name: Block No.
Project Name:GEORGE LOVELAND
Setbacks Front Back: Right Side: Left Side:
D;ET;ahLED b 5CRIPTION OF'UVORK
a.
Replace 5 Windows
CONSTRUCTION INFORMATION
Additional'worK to be per orme „ unclertnis permit-check a apply:
❑HVAC Gas Tank ❑Gas Piping _Shutters �X Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: 5Ft.of First Floor:
Cost of Construction:$ 7,800 Utilities: Sewer Septic Building Height:
A°O1NN'ER/LE$S5EE:`. r � CO:NTRAx(1 t]R' .; . .
Name GEORGE LOVELAND Name:DAN BECKNER
Address: 12374 GRUMMAN WAY Company:PARADISE EXTERIORS LLC
City: PSL State: FL Address:1918 CORPORATE DR
Zip Code; 34987 Fax: City:BOYNTON BEACH State:FL
Phone No. 772-468-7272 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.
„SUPPLEMENTAL"CONSTRUCTION LIEN LAW IN'FORM4TION�� m6 . ' `
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
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 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.
ure of Owner/Agent/Lessee Signature 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 forgoing instrument was acknowledged before me
this VA day of IM0.lC1 20 19 by this day or N1QtC�h .20a by
GEORGE LOVELAND DAN BECKNER
(Name ginJAMES HOWELL (Name of person acknowledging
*MY COMMISSION#FF246672
d9' EXPIRE#:September22,2019
M
n
(Signature of Notary Public-State of Florida} (Signature of Notary Public-State of Florida} s -d
/ d m 'm
Personally Known ✓ OR Produced Identification Personally Known�OR Produced Identific d "
5. 1
Type of Identification Produced Type of Identification Produced o
Commission No. (Seal) Commission No. (Seal) F ~ o m
S 63 �
ocos
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
i