HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED u
Date: \ �e`1�� Permit Number:
RECEIVED
•as I's I
APR 12 2019
l T Building Permit Application
ST. Lucie County, Permitting
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: Window/door
PROPOSED IMPROVEMENT LO'CATION ,.
Address: 5602 TRAVELERS WAY
Legal Description: PALM GROVE S/D BLK A LOT 3 (0.14AC)(OR 1299-2341)
Property Tax ID#: 3410-503-0014-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Morgan 1001
Setbacks Front Back: Right Side: Left Side:
�J
DETAILED DESCRIPTION°,OF,WORK
�o a _
Window/door replacement size for size JrJD- O(3--f
Mull
CONSTRUCTfPON_INFORMATION
s
Additional work to be nertormed un er+t is permit—c Pck all appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers El Generator FI Roof
Total Sq.'Ft,of Construction: S Ft:of'F.irst Flood::,'
- ,- ,.••• 3750.00
Cost of Construction:,$ Utilities:; _Sewer Septic'; Building Height:
x01NN'ER/LESSEE f CONTRACTOR:
0
Fe-
NameGeorge T Morgan Maine: Mark Collins -
Ad4cess:-5602Trave'lers Way Company ;:Window-' World of West Palm Beach
Fort; fierce ' FL "
City: P State:_ Address'-;1500 N:,Florida Mango Road, Suite 16B
1.
Zip Code: 34982' Fax: City: West Palm Beach State:FL
Phone No. Zip Code: 33409 Fax: (561)684-2050
E-Mail: Phone No. (561)684-2040
Fill in fee simple Title Holder on next page(if different E-Mail: westpaimbeach@windowworld.com
from the Owner listed above) State or County License: CBC1260052
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
�SSUPPLEMENTAL CONSTRUCTION''LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
f
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 County 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 foriany 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 T NER:Your failure to Record a Notice of Commencement y r suit in your paying twice for
improve is t your pro A Notice of Commencement must b c ed a e jobsite
before a fir spe If u intend to obtain financing, cons wi ende n a y b fore
com enc' ork r red ur Notice of Commencemen
S
_Signature of Owner/Lessee/Agent i ature of Contractor/License o er
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Palm Beach COUNTY OF Palm Beach
Theoing instru dent w acknowledged before me The forpQing instru ent was acknowledged before me
thisfo day of 20/ by this 3 day of 20 by
Mark Collins 1 Mark Collins
(Name of person acknowledgi (Name of person acknow�led ing)
�P`a�ssloN•c•R•y i���i' `\\`��OP�s�NL PERKION
(Signature ota Public-State ( ' r Notary Pub[' -S tec�lol:io '12
.7,
Personally wn x OR Proicik ldenti�a _ Personally nown x OR Pro3u ed Identj�iaarion �*
Type of Identification Produced 2 GO T Type of Identification Produced__ air :_ gcc077747
��j •,a,�j p tided\�e�`,•'O�� i�0'•°�a eo
Commission No. . \`\\ Commission No. ��i , �E �AO;\�0���
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS