HomeMy WebLinkAboutUntitledBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ® ®�
Date: Permit Numb NY
RECEIVED
JUN 0 4 2019
Building Permit Appli ai(MeCounty, 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 TYPE: WINDOWS/DOORS
PROP®Sa D+IMAPRr DEMENT LQCATIO I 3' R
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Address: 470 WOODCREST DR,FORT PIERCE,FL 34945
Property Tax ID#:2308-501-0024-000-3 Lot No. 11 -
Site Plan Name: Block No. B
Project Name: TIMOTHY&LACEY BUXTON
DETAILED DESCRIPTION OF WORK _ ,
Replace 11 Windows& 1 Door L,, 4 mow•.pA c—+-
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CONSTRUCTI4NINFORMATION91,
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Additional workto 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:$ 15,000 Utilities: —Sewer _Septic Building Height:
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INNERLESSEEb ,�
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NameTIMOTHY&LACEY BUXTON Name:DAN BECICNER
Address:470 WOODCREST DR Company:PARADISE EXTERIORS LLC
City: FORT PIERCE State:FL Address:1918 CORPORATE DR
Zip Code: 34945 Fax: City:BOYNTON BEACH State:FL
Phone No.772-370-0083 Zip Code:33426 Fax:
E-Mail: Phone No 561-732-0300
Fill in fee simple Title Holder on next page(if different E-Mailparadiseexteriorslic@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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SUPPLEMENTAL CONSTRUCTI{ �I'E EN�CAW 1NFORMATFOx
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Add re ss:
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 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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
S ture of Ow er/Les ontractor as Agent for Owner S' ature of Con ctor/License Holder
STATE OF FLORIDA STATE OF FLO
COUNTY OF 5E �I�GI COUNTY OF �VC'�)Il!'0\
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this27 day of__JAA Y __,20314 by this,3 day of_2___,20 1 a by
Name of person makingstate ment. Name of person making s
_ ement.
Personally Known_e//_ OR Produced Identification Personally Known_ OR Produced Identification
Type of Identification Type of Identification
ProducedProducedon_
(Signature of No is-State of Florida.I {Signature of NotaryPublic
KIMBERLY MARIE CASA
Commission Na (S�g}MES HOWELL '' =.
MYfONIMIS5lON#FF24667 ommission NO. .,_ Mon*ISSION#GG 2057 3
EXPIRES:September 22,2019 `+rF oP= EXPIRES:April 10,2022
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19