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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONh. ALL APPLICABLL INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / Date: Permit Number: RECEIVED Building Permit Application Planning and Development Services UN 3 0 2016 Building and Code Regulation. Division 2300 Virginia Avenue, Fort Pierce Ft 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Shutter PiROPtJ5E`D`INIPRQWE ENTgLC�CATION �E' ., Address; 385 NE BRACKEN RD, Port St Lucie, FL 34983 SCANNED BY Legal Description: St ucie Counly I Property Tax ID #:3419-570-0128-000-0 Lot No. Site Plan, Name: Block No. Project Name: Edward Gormley Setbacks Front Back: Right Side: Left Side: 7 Windows and 1 Doors I k 0, C� &ate% ex CON' T PCI'I'O , IN�FOR . _ .,., Aaamonaiworxtone ertormea unaertnispermit—cneCKau apply: r �HVAC _Gas Tank ❑Gas Piping Shutters a Windows/Doors L Electric 0 Plumbing Sprinklers 0 Generator 0 Roof Total Sci Ft of Construction: S Ft. of First Floor: Cost of Construction: $ 24827.00 Utilities:[]Sewer Septic Building Height: I `� 7 to 4 J i �Sl% 4 d�k�'§ qq©1NNER�fLESS'EE���°' ��gv��,,.�� 1`0, '" tfiY`.,^szt.. yCONTRAT-CAR; �' ( '`•;. 1 `a 9 Name Edward Gormley Name: Dan Beckner Address': 385 NE BRACKEN RD Company: Paradise Exteriors, LLC City: Port St Lucie State: FL Address:1918 Corporate Drive Zip Code: 34983 Fax: City: Boynton Beach State:FL Phone No. Zip Code: 33426 Fax: 866-721-5332 E-Mail:e, �G04,'i►rl5rDKYK C06vl Phone No. 561-732-0300 E-Mail: paradiseexteriorsllc(a,itmail.com Fill in fee simple Title Holder on next page ( if different State or County License; SCC131150472 from thi Owner listed above) it value or construction is SZ5UU or more, a RECURUED Notice of Commencement is required, I hSUPPL TRUCTI(7N �lE;(W lAW Ft �MA ICi w. M�Nfi L CC7NSIN DESIGNER/ENGINEER: Name:`' Address: City: Zip: 3 _ Not Applicable T—e,P3 V '0nee-r-c MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip•, Phone: 7 3 L6 NW 9 ree:-�r State:Ft- r33 i Phone: M 7,27 20�7 I ' FEE SIMPLE Name: Address: City, Zip: TITLE, HOLDER: Not Applicable BONDING COMPANY- _Not Applicable Name: Address; City: I Phone: I Zip: Phone:. r certify r hat no work or installation has_commenced prior. to the' issuance of a permit. St. Lucie County makes no represeritation that is? granting,a,permit will authorize the permit holder to build the subject structure which is in conflict with anyapplicable Home..OWnersASSOCIatlon "rules; bylaws or'and•covenantsthat may restrict or prohibit such structure. Please consult wth your Home Owners Association and revlewyour deed for.any restrictions which may apply. In consideration of the granting of this requested permit, do hereby agree,that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codesand St. Lucie County Amendments. The follol ing building permit applications are exempt from undergoing a full concurrency review: room additions, accesso structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WAR 11 G 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. _ Signature of Owner/ Agent/ Lessee V Signa [ire of Contractor/License Holder STATE OF FLORIDA STATE OF FLORID COUNTY OF �T LLQ[; [ C: COUNTY OF The f�oinginstrument wasQ n%knowledgeefyre me The f instru was ackno ledged yefore me this I dayof 20 1 b this y of , 20 y 9DWAizD GoM A {Name of. person acknowledging) LN*V N e of per a wledging } �� JAMES HOWE L M1 COMA955ION # EXPIRES: S 22, 019 {Si u're of Notary. Public- State.of'Florida) {Signature 0 Notary Public- to a of Florida } Personally Known ✓ OR Produced Identification Personal K Type of identification Produced ype o n ,c? tion Proc AtHN ANN HERRM Commission No. • ����• � Notary Public - State FIJa {Seal} Commissi b. Expires Se Commission w FF 1299 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR' PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALSS X