HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONXIAPPLICABLE INFO MUST BE C'OMhiETED FOR APPLICATION TO BE ACCEPiEDR-
Date: 4/15/16 SCABNNED Permit Number: Aa' (25 -
St. Lucie County
RECEIVE®
Building Permit Application MAY 11 2011i
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: 8590 MARY ANN LANE
Legal Description: ST LUCIE GARDENS, BLK 3, ALL OF LOTS 9,10,11, PART OF LOTS 12,13,14
LA BUONA VITA CLUBHOUSE
Property Tax ID #: 341450119095002 0 0-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back:
DETAILED. DESCRIPTION OF WORK:
Right Side: Left Side:
REPLACE EXISTING SLIDING GLASS DOORS WITH PGT FIXED IMPACT STOREFRONT
WINDOWS AND REPLACE EXISTING NON IMPACT STOREFRONT DOORS WITH PGT IMPACT
STOREFRONT DOORS
CONSTRUCTION
INFORMATION:
Aclaitional work to 10[elerformed under
Tispermit -check
all apply:
11HVAC Gas Tank
Gas Piping
_ Shutters
a Windows/Doors
0 Electric Plumbing
Sprinklers
Generator
Roof
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 89,265.88
Utilities:llSewer 0 Septic
Building Height:
bWN E R/LESSEE:
CONTRACTOR:
Name LA BLIONA VITA COOP
Name: ROY MICHAEL JOHNSTON
Address: 8601 SOUTH FEDERAL HWY
Company: STUART PAINT & SUPPLY
City: PORT ST LUCIE State:FL
Zip Code: 33452 Fax:
Pho a �• 1W- oG a�4nl
Address: 657 NE DIXIE HWY
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax: 772334-2705
Phone No. 772 334-2700
'Q- -
E-Mail:�Yo r1Ai ♦ O obY, 41ET
Fill in fee simple Title Holder onnextpage (if different
from the Owner listed above) nC*WA57-
E-Mail: MJOHNSTON@THEBUILDERSSTORE.NET
State or County License: CGC 1517946
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Name:
Addre:
City: _
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Not Applicable I BONDING COMPANY: _Not Applicable
Name: _
Address:
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 antl 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 you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
of Owner/
STATE OF FL
COUNTY OF
The for oing instrument was acknowledged before me
this7dayof jAAlA 20/Lby
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STATE OF FLORIDA
COUNTY OF C�iil �/�
The forgoing instrument was acknowledged before me
this J day of 20 L by
J cr�b�o� ll i � /h.7�mo{
(Name of person acknowledging) G (Name of Verson acknowledging )
/?1M.Y�lS �4MA.P k-JL 612
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re of Notary Pub c�gttat o Florida) (Signature of Notary Public- Stat Florida )
Personally Known LZ. OR Produced Id ti I 1 Personally Known ZIOR Produced Identification
Type of IdentificatioType of Identification Produced
�; Dianna Knight Naa,y public Slate o{ lori
Commission No. ycommkS®al�F012576 Commission f°�c {9ea11
qh Expires o512V2o17_y night
- - y _ n� My Commission FF 012576
Revised 07/15/2014
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