HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q
Date: I Permit Number:
RECEIVED
. Building Permit Applicatio ri
Planning and Development Services MAY 2 8 2019
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMITTYPE: WNDOWS
F'ROP,OSED IMPR01/EMENT'LOCATION`
Address: 6210 DRAWDY PKWY,FORT PIERCE,FL 34951
Property Tax ID#: 1301.-606-0075-000-3 Lot No.
Site Plan Name: Block No.
Project Name: S'TACY JR MO:RAN
DETAILED DESCRIP�TION°OF 1NORC �p
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Replace 9 Windows ;:.'•-�J, i„�nG cf ,y;��c�t.,S
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Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters X Windows/Doors
_Electric —Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 10,500 Utilities: _Sewer _Septic Building Height:
QWNER�LESSEE CONTRACTOR x {
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NameSTACV MORAN,JR. Name:DAN BECKNER
Address: 6210 DRAWDY PK«'Y, Company:PARADISE EXTERIORS LLC
City: FORT PIERCE State:FL Address:1918 CORPORATE DR
Zip Code: 34951 Fax: City:BOYNTON BEACH State:FL
Phone No.772-971-8255 Zip Code:33426 Fax:
E-Mail: Phone No 561-732-0300
Fill in fee simple Title Holder on next page(if different E-Mailparadiseexteriorsllc@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.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
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5UPPL"EMENTAL ONSTRkUCT1(�Nf L;EN LAVA INFO`RfVIATIONgiAQ
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DESIGNER/ENGINEER: u 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:
OWNER/ CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced priorto 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 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 " THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING; CONSULT
WITH YOJfJR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signat: ner/Lessee/contra r as Ageppfor Owner S' a ure of Contractor/License Holder ;
STATE-OF-FLO A STATE OF'FLORID.
�CO:UNTY OF M COUNTY OF
The f ping instrument was acknowledged before me The fo oing instrumen�tvy as acknowledged before me
this day of_— --,20LCI by this_I_day of--M Qq—_,201,9 by
Name of persorf making statement. Name of person making statement.
Personally Known_Z OR Produced Identificatio _ Personally Known OR Produced Identification q!
Type of identificationw�- Type of identification
Produced 0�" 1 Produced
�, �O q1• o.Q C� c� .5 --
otaryPubIII c- 5ic-State Flo @Q
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Commission No. U�`i�� ��Ft } Commission No. g,= (Se
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REVIEWS FROM ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW" REVIEW REVIEW REVIEW REVIEW REVIEW
DAT E
RECEIVED,--
COMPLETED - - -
ev.217119 -