HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number.
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34992
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: WINDOWS/DOORS
P'ROPOSEQ,IiVIPROVEMENTLOCATIN: ,
Address: 627 KEARNEY RD FT PIERCE FL 34982
Legal Description:WIHTE CITY ESTATES BLK 2 LOT 13 &W 61ft OF LOT 14
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Property Tax ID#:3410-601-0034-000-0 Lot No. 13 & 14
Site Plan Name: Block No. 2
Project Name:ROBERT CASE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION`OFNWORK e s`
Replace 18 Windows& 1 Door
CONSTRUCTION';INFOR MATION. =q '
s , s ,• ,. p, x .d,
Additional worK to De,performed under t is permit—c ec all Mapply:
OHVAC Gas Tank ❑Gas Piping _Shutters X�Windows/Doors
Electric 0 PlumbingSprinklers El Generator Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction•$ 31,704.00 Utilities:I]Sewer OSeptic Building Height:
GWNE'Rf LESSEE
CONTRACTOR:
Name ROBERT CASE Name:DAN BECKNER
Address: 627 KEARNEY RD Company:PARADISE EXTERIORS LLC
City: FT PIERCE State: FL Address:1918 CORPORATE DR
Zip Code: 34982 Fax: City:BOYNTON BEACH State:FL
Phone No. 772-201-2662 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.
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PLEMENTALtCi�NSTRUCTI(7N LIEN3LAW`INFRMATIC�,N
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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:
I certifythat no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count�yy 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 pro ibit 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.
> � V
ignature of Owner/Agent/Lessee Signature of Contractor/Lice older
STATE OF FLORIDA STATE OF FLO DA
COUNTY OF COUNTY OF Iri1 _Reo )(1
The fo oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this aday of A f I 20—by this 15_day of BPV—A 20A% by
ROBERT CASE DAN BECKNER
(Name of person acknowle ng) {Name of person acknowledging}
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�I C9 N u
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{Signature of o ublic-State of Florida} c-State of Florida } .
Personally Known OR Produced Identification Personally Known OR Produced Id rq i t.
Type of Identification Produced Type of Identification Produced Q' J. `-
Commission No. eaAA.MES HOWEL mmission No. �$J�
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MY COMMISSION#FF2466 :at :4
EXPIRES:S
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS