HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED-
Date: �'V I Permit Number:
RECEIVED
..
--_— ---- AUG 16 2010
Building Permit Application
Par
Planning and Development Services st, LuRleoeppea Event
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
PROPOSED IMPROVEMENT LOCATION:' _' r:
Address: 4100 N A1A Apt 322
Legal Description: TREASURE COVE DUNES UNIT 322 (OR 3941-1946)
Property Tax ID q: 1423-502-0018-000-2
Site Plan Name:
Project Name: Shirley Perry & Donald Duygo
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
OETAILED DESCRIPTION OF WORK: III
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I,W I- h dVAJ S 7-- s/I 1G nS g'G�+ �S d06✓S
CONSTRUCTION INFORMATION:
Additional work to e e orme un ert —checkispermit a apply:
1JHVAC E] GasTank Gas Piping _Shutters Windows/Doors
Electric OPlumbing []Sprinklers Generator Roof = Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 1 1(0i q S7
5q �Ft. of First Floor: _
Utilities: l l Sewer O Septic
Building Height:
OWNER/LESSEE
; _ "
. a
cbNTRAChTOR f
Name Shirley Perry & Donald Duygo
Name: Scott Berman
Address:4100 N Highway A1A 322
Company: Florida Window and Door
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No. 804-472-4810
Address: 1225 N Dixie Highway
City: Lake Worth State: FL
Zip Code: 33460 Fax:
Phone No. 561-340-4300
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: Howard@floddawindowanddoor.com
State or County License: CGC-1509450
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. ' p,Sq
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATI,QN;
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: x Not Applicable
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 agreethat 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.
STATE OF FLORID STATE OF FLORIDA^,� /
COUNTY OF LU I ;, COUNTY OF fO_t4_YI EGI%
The fo oing m was acknowledg efore me
this day of ( I I ))�f 20� by
1)0'ncJ.d bUY8-D
(Nam"f person acknowledging)
(Signature of Notary Public- State df Florida )
Personally Known OR Produced Identification /
Type of Identification P L
` RENEE PHILLIPPE.
Commission No. Not4l"Mic, State of Florida
Commissionit GG 179276
Revised-07/15/2014
The ,fourgoing instru ent was acknowledged before me
this _ day of 20 J�_ by
Scott Beeman
(Na e f person acknowledging)
(Signs ure of Nota Public- State of Florida )
Personally Known.
OR Produced Identification
Type of Identification roduced
Commission No.
Florida
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