HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONl I i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
SCANNED
Building Permit Application SCBY
Planning and Development Services
Building. and Code Regulation Division St. LUCIe Cnim,
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772):462-1578 Commercial _z Residential
PERMIT APPLICATION FOR: To Select from dropbox click arrow at the end of line
aPRQP05ED'IMPROVEMENRnL0CAl1'd I',;,,;;;, '' 4,1 F '"'' ,' t , p
rail
Address:97=Reserve Blvd. Port St. Lucie, FI 34986
Legal Description:
Property Tax ID #: - j2� • �l �2, tl�!> Lot No,
Site Plan Name: Block No.
Project Name:
Setbacks .Front- Back: Right Side: Left Side:
Replacement of 1 window with an impact window
HVAC L-1 Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 1,578.26
Piping L_JShutters
ers L.,J Generator
Spi �Ft. of First Floor: _
LltllltleS: L—ISewer septic
Windows/Doors
Roof
Building Height:
`bW►VER/LESSEE'F ij , nI a„t.:'r,
QONTRACTaR
Name Reserve Realty & investment Cc, LLC
Name:'Robyn Lazear
Address:9700 Reserve Blvd
Company: Palm Aluminum & Glass, Inc.
City: Pt, St. Lucie State:FL
Zip Code: 34986 Fax:
Phone No.561-302-7019
Address: 6601 Lyons Rd C-9
City: Coconut Creek State: FI
-Zip Code:33073 Fax:954-421-8610
Phone No. 954-421-8572
E-Ma i I: cposess@kw,com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: s.wiggs@palmaluminum.com
State or County License: SCC131151365
-- -- -•--••�•• ••�•.�., m yuvo o, ,,,,., �, a ncr.vwcv rvuuce or commencement is requirea.
95UpFLEIVIENTALIC,ONSTRU,1ilON
L(E.N� i441N INORMATIONI�"�
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DESIGNER/ENGINEER:
Name:
_Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone:
State: _
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip; Phone:
I certify thatno worker installation has commenced prior fo'fhe issuance of permit.
St. Lucie Count makes no
which is in conflict with an
structure. Please consult v
any restrictions which may
In consideration of the granting of this requested permit, I do hereby agree that Twill,: 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: roomadditions,
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 attorneybefore
_ Signature of
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF� 40Qlm rj�Mrh No COUNTY OFem d
The for instrument was acknowledged before me
this I day of FC. .(?rjj 20 LT by
e,harle-n F- 1?0-,f55
(Name of person acknowledging)
(' atufeb Votary Public- State of Florida)
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No.
Revised
MY OOMMISSON 6 EE861979
—BRRES: 8Nff *29N'
BmM Thm Nalav Publk Undemit
The forgoing instrument was acknowledged before me
this X day of -J' C 20 L by
Robyn Lamar
(Name of person acknowledging I
(Signature.of Notary Public- Stow f Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No.
L. DIAZ
PUBLIC
Expires 21812018
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
.REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS