HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: qr(. 6 `U Permit Number:— c
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F Building Permit Application 0m,
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
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PERMITTYPE:
PROPOSED IMPROVEMENT LOCATlO'N`
Address: 7657 Greenbrier Circle
Property Tax ID#: 3322-700-0108-000-4 Lot No. 103
Site Plan Name: POD 19 PUD II GREENBRIER Block No.
Project Name: Skannel (Shutters)
DETAILED DEJPTION'CIF WORK ,
Install Accordion Shutters- 17 openings
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CONSTRUCTION INFORMATION:
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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
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Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 6882.00 Utilities: —Sewer —Septic Building Height:
OINN.ER%LESSEE: CO:NTRACTQR
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Name Brenda K Skannel Name: Karl Kandel
Address: 57 Greenbrier Circle Company:White Aluminum
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-Mailastaples@whitealuminum.com
from the Owner listed above) State or County License CBC 025116
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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. j
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S'URI?LEMENTAL CONSTRUCTION LEEN LA\N INFORMATION
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not ApplicableI
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone' Zip: Phone:
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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, C014SULT
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 Contractor/License Holder
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STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF }t'.1.�� ' COUNTY OF
The fo[Sping instrum s kno le a efore me The for in instru ent wa acknowlecia efore me
this day of 10by this day of g �by
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Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identificat' nn Type of Identifica on
Produced Produced
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(SignalturiA of taa/ry Public-State of orida) (Signature of Nary Public-State of Flo ida
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Commission No. Z35IO2 (Seal) Commission No. ��Z3�'�� Sea
Notary Public State of Florida blit State of Florida
Angela Staples
G atoa �P��^ �Ange a StaPles s toe
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DATE
RECEIVED
DATE
COMPLETED
iev.2/7/19