HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED f 2
Date: ""��– Permit Number: ✓�^� ✓
RECEIVED
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Building Permit Application
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Planning and Development Services St. „�;e count
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED'IMPROVEMENT LOCATION
Address: 765 Lindo Lane,Port St Lucie,FL 34952
Property Tax ID#:3419-515-0167-000-4 Lot No 10
Site Plan Name: Block No.
Project Name: Alec Coffee
DETAILED DESCRIPTION OF WORK.-,
Install 11 Impact windows
GONSTRUC'1 N1NFOftMATION:;
Additional work to be performed underthispermit–checkallthatapply:
_Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors
Electric —Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 13,987 Utilities: —Sewer _Septic Building Height:
OWNERAESSEE CONTRACTOR: .
NameAlec Coffee Name:Ronald Heath
Address:765 Lindo Lane Company:Max Guard Hurricane Windows LLC .
City: fort St Lucie State:FL Address:2253 Vista Pkwy,Ste 12
Zip Code: 34952 Fax: City:West Palm Beach State:FL
Phone No.772-240-5171 Zip Code:33411 Fax:
E-Mail: Phone No 561-276-7100
Fill in fee simple Title Holder on next page(if different E-MailRheath@maxguardhurricane.com
from the Owner listed above) State or County License SCC131151738
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.
i
SUPPLEMENTAL CONSTRUCTION LIEN LAVti( INFORMATIO,N:
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:
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 holderto 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 exemptfrom 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."
Signal re o Owner/L ee actor as Agent for Owner Signature of Contractor/License Holder
STATE OF F D STATE OF FLO A"
COUNTY OF YYl t (� COUNTY OF +tXJ 'l
The fo oing instr_i=nt was acknowledge ,before me The forgoing instrument was acknowledged before me
this day of (
_ A —,20 by thisday ofd 20 b
� irnl�^_ L� y
Name of person making statement. Name of person making statement.
Person. Ily Known _OR Produced Identification Personally Known OR Produced Identification
Type of dentification Type of Identification
Produ ed Produc
y' 1
(Signa ure of N a, [;talF r ) i n lureofN to Pu ic9 `�f'�.�' A. PEOPLES g ry ``� o, LY A. PEOPLES
= Notary P blic State of Florida ,o;-
Commission No. ` Near r State of Fl Ida
ddycomm. jsls Sept. td. 2321 Commission No. My comxpies Se;t. 14C2021
° Commissicn Number GG14^235 Comm;ssion Number GG143235
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW -REVIEW REVIEW
DATE
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