HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO'MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: �� 6
ISLE
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`� �`p Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial x Residential
2300 Virginia Avenue,`Fort Pierce FL 34982
Phone: (772)46271553 Fax:(772)462-1578
PERMIT APPLICATION FOR:Rebecca McCoy
PROPOSED IMPROVEMENT LOCATION:
Address: 12348 HARBOUR RIDGE BLVD 3-2
Property Tax ID#: 4426-807-001.8-000-6 Lot No.
37S
Site-Plan Name: SOUTH SHORE VILLAGE UNIT 3-2(OR 4248-579) Block No. 40E
Project Name: McCoy '
DETAILED DESCRIPTION OF WORK:
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Replacement of Windows and Door with Impact l N014 0�U-(�yt)lo, U� f FL NoiA '2a U-6%1o. 0y
ENOA ao -64a1- 09 F '19 0 a 0-64( -10 , �FIr NuA a6-764bI 'Al
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank —Gas Piping _Shutters Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 27,118.00 Utilities: —Sewer _Septic Building Height:
OWNERAESS'EE: CONTRACTOR:
Name Rebecca McCoy Name:Jeffrey Walsh
Address:12348 HARBOUR RIDGE BLVD 3-2 Company:Liberty Impact Windows and Doors .
City.: Palm City FL State:_ Address:257 SE Monterey Road East
Zip Code: 34990 Fax: City: Stuart State:FL
Phone No.404-771-7869 .Zip Code: 34994 Fax:
E-Mail: Phone No772-444-7112
Fill in fee simple Title Holder on next page(if different E-MailICYb C
from the Owner listed above) State or County License CGC 1528257
If value of construction is 2500 or more,a RECORDED Notice of Commencement,is required.
.If value of HAVC is,$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL Q TRU,CTfON LIEN LAWINyFORMAT10l�
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: !�( Not Applicable
Name' + I IAS Name:
Address:_Lts�c le Address:
City: tyr,d{- State:mil. City: State:
Zip:—34g91, Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City:
Zip. Ph(5ne: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installations 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 RE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER 0AAQf ATT RNEY BEFORE RECORDING YOUR NOTICE OF COMM ENT'
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li Signature of V tvner/lessee/Contractor as Agent for Owner Signature of C tractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF� ,r► COUNTY OF�� in
The forgoing instr t was acknowledged before me The f going instr nt was acknowledg efore me
this day of 20� this day of .20by
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Commission No. (Sea "`'�`z' Commission No. (Se I"
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIE:^! REVIEW REVIEW
DATE
RECEIVED
DATE
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