HomeMy WebLinkAboutBUILDING PERMIT APPLICATION' 1 i
ALL APPLICABLE nINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �• a 4 i�l Permit Number: 1 I l 1 I- l /� 1 q U�
SCANNED
r'- _ •, BY RECEIVED
_ St. Lucie County
Building Permit Application SEP 2 9 2017
Planning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
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Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 4400 N. Hwy Al Ft. Pierce, FL 34949
Legal Description: Paragon Condominium Association
Property Tax ID #:
Site Plan Name: I
Project Name:
Setbacks Front
WS-116=01TWI IN
Back: Right Side: Left
Lot No.
Block No.
[ DETAILED DESCRIPTION OF WORK:
C d /✓G R /Z T e- P. F,S To 9/9
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(�F1lw,ry L'l r�,n ,, ,/li/Q _ Kt...n.ISJ 't. �_in/i �? .!`�-/�
CONSTRUCTION INFORMATION: II
mona worK to ne nertormed under tispermit-check all apply:
�HVAC Gas Tank Gas Piping 1-1 _ Shutters
Electric Plumbing Sprinklers ❑ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Constructio r S Utilities: 0Sewer Septic
11 Windows/Doors
E]Roof = Roof pitch
Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Paragon Condominium Association
Name: Sj RyCYr//L:Z-Gc�/iJ
Address:4400 N. Hwy Al
Company: R DQ/GAIT sTi�� �C
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No. 77—a - S ro cf.� 79� �
Address:
City: ep1<F, Pie State: 1=C�
Zip Code: 3ci4 -7 3 Fax: 9,:: 3 -Saq_a'f F
Phone No. %��-a�✓` -��� 3�
E-Mail: ,/ -' $XRCaCCi1i
Fill in fee simple Title Holder on next page_ ( if different
from the Owner listed above)
E-Mail:
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name: MI -Engineering
Address: 2030 37th Ave
City: Vero Beach State: FL
Zip: 32962 Phone: 772-5e9-4041
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: Paragon Condominium do Keystone Property Management Group
Add ress: 2001 9th Ave Ste 3o3
City: Vero Beach, FL
Zip: 32960 Phone: 772-569-702e
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
_Not Applicable
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 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.
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Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLOR�IA STATE OF FLORIDAI'/y
COUNTY OF �xd�an/ COUNTYOF
The forgoing instruR�}fnt was acknowledged before me The forgoing ins
thiF��day of 20/1--by thiday of
O
(Name of person acknowledging) (Na a of ersoi
(Signature of Notary Public -State of Florida )
Personally Known &""�OR Produced Identification
Type of Identification Produced
Commission No. /�qmmission#FF93026P
/ %
80dG oires October 22, 201:
Revised 07/15/2014
was acknowledged before me
r � 201 — by
State of Florida )
Dy&Jwog,NWd"non.
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