HomeMy WebLinkAboutBUILDING PERMIT APPLICATION - VOIDz
ALLAFF61CABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:, �' rJl' Permit Number.
I
Building Permit Application f 4 ZU17
Legal Description: Riverbend (PB 67-36) - Lot 10
Property Tax ID #: 4425-703-0015-000-3
Site Plan Name:
Project Name: LOT 10 Riverbend
Setbacks Front Back:
INSTALL ALUMINUM FENCE
Right Side
Left Side:
Lot No. 10
Block No.
Haamonai worK to De errormea unaer tnis permit— cnecK aii n appiy:
11HVAC Gas Tank Gas Piping _ Shutters Q Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
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q. Ft of Construction: <� L I— S . Ft. of First Floor:
Cost of Construction: $�(�6 Utilities: _ Sewer E]Septic
Building Height:
�0WN-,"
ONTRAName
Standard Pacific of Florida
Address: 825 Coral Ridge Drive
ame: Paul Taylor
ompany: Climatrol Quality Aluminum Products, Inc.
lAddress:5530 NW 161 Street
City: Coral Springs State: FL
Zip Code: 33071 Fax:
Phone No. 954-575-7500
City: Miami Gardens State: FL
Zip Code: 33054 Fax:
Phone No. 561-969-2299
E-Mail: construction@fountainbluepools.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: construction2@fountainbluepools.com
State or County License: SCC131150789
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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S��PPr�t*tVIEN1'Al.CaNSTRUC`fIC}N ILiEN lAW"(", FfJFtMATlON
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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:
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 teR4to obtain financing, consult with lender or an attorney before
commencing work or recor 'n ojaf Ngkice of Commencement.
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_ Signature of Owner/ Le a/Agen
Signature of Contract ice se Holder
OUNTSTATE OYOFFLORIDA T660h�C
COUNTY OFSTATE OF ORIDA
The forgg instrument was acknowledged before me
Tby
The forg2Lng instrument was acknowledged before me
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this 1 /ay of� 2 /
this /% may of 20 / 7 by
(Name person acknowled i g)
(Name of per on acknow le ging )
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(Signature of Notary Pub c St to I SS y //�j�
(Signature of Notary P - S to o to '��0%111 I1111111
Personally Known OR Pro d I�i� .� ••ti �.
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Personally Known OR Pro d I�er1`pri �i
Type of Identification roduced ?� a t.
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Type of Identification r duced �� t1.�fR E!'o
Commission No. = y : (Se
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Revised 07/15/2014
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