HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
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 APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: 4102 Sunrise Blvd., Fort Pierce, FL 34982
Legal Description: The Tropics Revised PB 6-21 Blk 4 Lots 1,2,3, 10& 11
Property Tax ID#: 2433-801-0050-000-0 Lot No. 1,2,3,10,11
Site Plan Name: Block No. 4
Project Name: Michael Bonville
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
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CONSTRUCTION INFORMATION:
Additional work to e e orme un er this permit—check a apply:
11HVAC 11 Gas Tank Gas Piping In Shutters Q Windows/Doors
11 Electric ❑ Plumbing Sprinklers 11 Generator E] Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ �1,CtRS` Utilities:nSewer Septic Building Height:
OWN ER/LESSEE: CONTRACTOR:
Name Michael Bonville Name: Scott Berman
Address:4102 Sunrise Blvd. Company: Florida Window and Door
City: Fort Pierce State:FL Address: 1125 N Dixie Highway
Zip Code: 34982 Fax: City: Lake Worth State:FL
Phone No.772-240-6822 Zip Code: 33460 Fax: 561-624-8037
E-Mail:icecube@gate.net Phone No. 561-340-4300
Fill in fee simple Title Holder on next page(if different E-Mail: Howard@floridawindowanddoor.com
from the Owner listed above) State or County License: CGC-1509450
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contract se Holder
STATE OF FLORID STATE OF FLORID
COUNTY OF COUNTY OF IR�
The forgoing instr ent w s acknowledged before me The forgoing instrument was acknowledged before me
this�q day of 20,3)—by this,7g_day of bV 20 7_0 by
Michael Bonville 1 Scott Berman
(Name of person ac nowledging) (Na a of person acknowledging)
(Signature of Notary Public-State of Florida) (SignNattrre of Notary Public-State of Florida)
Personally Known OR Prod y d Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. -� Commission No. (Seal)
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS