HomeMy WebLinkAboutappALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED cq
Date: G `�^1 11� Permit Number: v�oz-(35l 1
COUNTY' }
RECEIVED
J U N 27
Building Permit Application
Planning and Development Services ST. Lucie qc WICy, Ncrmltting
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 I
PROPOSED IMPROVEMENT LOCATION: ,I
6024 Indrio Rd L5
Legal Description: INDIAN PINES VILLADE-BLDG L UNIT 5 AND PRO -RATA SHARE IN COMMON ELEMENTS
l
Property Tax ID #: 1313-901-0089-000-9 Lot No.
Site Plan Name: Block No.
Project Name: BRIAR-1031
Setbacks Front Back: Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK:
REPLACEMENT OF WINDOWSIZE FOR SIZE
�2 ,_, 3
CONSTRUCTION INFORMATION:
Additional work to b rformed under tis permit —c ec a apply:
flGasTank
0HVAC ❑Gas Piping _Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers Li Generator Roof
Total Sq. Ft of Construction:
11 Cost of Construction: $ c3 6o
1
%
S _ Ft. of First Floor. _
Utilities 'n Sewer 0 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Louise Briar
Name: Mark Collins
Address: 6024 Indrio Dr L5
Company: Window World of West Palm Beach
City: Ft Pierce State: FL
;Zip Code: 34951 Fax:
Phone No. 772-828-1950
Address: 1500 N. Florida Mango Road, Suite 16B
City: West Palm Beach State: FL
Zip Code: 33409 Fax: (561) 684-2050
Phone No. (561) 684-2040
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: westpalmbeach@windowworld.com
State or County License: CBC1260052
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION UEN LAW INFORMATION_
DESIGNER/ENGINEER: x Not Applicable
'Name:
Address:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
'City: State:
Zip: Phone:
City: State:
Zip: Phone:
;FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: x Not Applicable
Name:
;Address:
'City:
Zip: Phone:
i'
Address:
City_
Zip: Phone:
II 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
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 us other non-residential use
WARNI O OW ER: Your failure to Record a Notice of Commence t I in your paying twice for
imp r emen o our pr ice of Commencement m e records A�pos a job its
b ore the fir spe - n_ If int d to obtain financing, suit with len r orn e
ommencin or eco in ou otce of Commenc ent.
i
Aignature of owner/ LesseTgent
it
OF FLORIDA
COUNTY OF Palm Beach
forgoing ins:Merit was acknowledged before me
day of 20/,by
4ark Collins -I-
Name of person acknowledging
orally Known x
of Identification F
on No.
State \IoPC M�gs10/V .,ry
. `c�O��E27 2,
OR P.A&Eu i t�entificWL'•.
#GG OM47 '
(e eal)
�1 1p�blac UndO��' 15
STATE OF FLORIDA
COUNTY OF Palm Beach
The forgoing instrument was acknowledged before me
this day o 20 t by
Mark Collins
{Name of person
Type of Identification
Commission No-
x
eSt to of Flq�;d�1)iNlll//���
P`gy M. P,4-
OR Pray iced i r l I?,
iced •',�+�.�r1E27,2
Revised 07/15/2014 ��lirrr/llii►1911'�t���\�` '/���8� CIgTAiE�`\ Off`\\
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