HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
•
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:
Permit NLmbeC
Building Permit Application
Commercial Residential
PROPOSED IMPROVEMENT LOCATION: I
Address: 406 Banana Ln, Ft Pierce, FL 34982
Property Tax ID #: 3410-503-0296-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Clarke & Beverly Mangan
DETAILED DESCRIPTION OF WORK:
8 Windows
�A
I CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters L41fintlows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 13,400
Sq. Ft. of First Floor: _
Utilities: _Sewer _Septic
Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
NameClarke & Beverly Mangan
Name: Steve Lambert
Address:406 Banana Ln
Company: Newsouth Window Solutions
City. Ft Pierce State: FL
Zip Code: 34982 Fax:
Phone No.412-559-8312
Address:2526 Okeechobee Blvd.
City: West Palm Beach Stater
Zip Code: 33409 Fax 5614784100
Phone No 561-712-9000
E-Mail:
Fill In fee simple Title Holder on next page ( If different
from the Owner listed above)
E-Mailwestpalmbeach@newsouthwindow.com
State or County License SCC131151763
If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required.
If value or HVAC Is $7,500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 certifythat no work or installation has commenced priorto the issuance of a permit.
St. Lucie County makes no representation that isranting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owpers Association rules, bylaws or and covenantsthat may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
inconsideration 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 51. 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
m1VARMNG TO OWNER: YOUR FAILURE TO RECORD A NOTIICE OF COMMENCENENT MAY RESULT IN YOUR PAYING
TRICE FOR IMPROYEMENTS TO YOUR PROPERTY. A NOTNIE OF COMMOK MOO 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 COMMENCEMM.'
Signature of Owner/ Lessee/Confrlictor as Agent for Owner
Signature of Contractor/Li ense Holder
STATE OF FLOWQA
STATE OF FLO
COUNTY OF �J��_C Ire
COUNTY OF I r� n. C�Pff h
The forgoing instrument as acknowledged before me
The fa oing instrument was w�as acknowledged before me
this day of ,2Q2gby
thisyday�of -2CW by
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l �Cl f V9 Q YVIQN[�Q V\�-0.M?V'��RY1��Y`y
Name of person making statement.
Name of persotit making statement.
Personally Known OR Produced Identification i�
Personally Known _vl� OR Produced Identification
Type of Identification
Type of Identification
Produced DL�
Produced
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(Sign ture of Notary P G, pEROTTI
Si natu of otary Public• Stag Fyi�y)
State of Florida•Notary Public
Commission No. _ - Con(lye� on p GG 186547
' f My Commission Expires
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mmission No.yJ`r($ecliijnifer ben
" My Comm w GG 179
to, 2021
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December
REVIEWS
FRONT ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Hey. 1/1/19
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