HomeMy WebLinkAboutBuilding Permit Application i
] All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE AL EPTED
Date: �'✓ l/I Pelrmit Number:
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a Building Permit Application st /,,942210
Planning and Development Services j Cpa/z'
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
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PERMITTYPE:
PRgOF.OSEO [MPR01/EMENT LOCAT[ON
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Address: 7657 Greenbrier Circle j
Property Tax ID#: 3322-700-0108-000-4 Lot No. 103
Site Plan Name: POD 19 PUD II GREENBRIER Block No.
Project Name: Skannel (Windows)
DETAILED�DESCRIPTION OE WORK � °°
Install Replacement Windows-4 openings-Impact
C [�STRUCTIQN INFORMATION _ .
Additional work to be performed under this permit—check all that apply:
_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:$ 4410.00 Utilities: _Sewer _Septic Building Height:
-0, NERjLESSEa GONTRAC�OR
�. ., . �v
Name Brenda K Skannel Name: Karl Kandel
Address: 57 Greenbrier Circle Company:White Aluminum j
City: Port St Lucie State:_ Address:2880 SW 42nd Ave
Zip Code: 34986 Fax: City: Palm City State:FL
Phone No. Zip Code: 34990 Fax: 772-877-2735
E-Mail: Phone No 772-212-1400
Fill in fee simple Title Holder on next page(if different E-Mail astaples@whitealuminum.com
from the Owner listed above) State or County License CBC 025116
I
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 CONSTRLI.CTION LIEN I=AW INFORMATION
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'thepermit 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."
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Signature of Owner/Lessee Contractor as Agent for Owner Signature of on ray or/L4tt nse Hol r
STATE OF FLORIDA r.1 STATE OF FLORIDASJ
COUNTY OF O>`I- C� COUNTY OF b l l`��-C�
The for ing instrum owledg efore me The f r oing instrum nt was nowledge efore me
this day of n, w s n20 My this day of 20 1by
L� IlLpaw , &d I
Name of person making st tement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
— "-.A"(Signat re of No Public-Sta of Flor a) (Signature of N ary P blit-State of Florida
Commission No. pubiic4taea3Fio� Commission' 7.-1-ens I�a
ry public
f° r: Angela Staples �gela Stap
• fission GG 235102 j fiss102
E pins 0710412022 Ex fires 07104/2022
REVIEWS OR PLANS V �� ROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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