HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
0T
A 9 St. Lucie County RECEIVED
Building Permit Application DEC 12 2017
Planning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Window/door III
Address: 16 LAKE VISTA TRL 206, PORT ST LUCIE FL 34952
Legal Description: VISTA ST LUCIE BLDG 16 UNIT 206 (OR 3260-2898)
Property Tax ID q: 3422-500-0223-000-9 Lot No.
Site Plan Name: Block No.
Project Name: PAMELA LACHANCE
Setbacks Front Back: Right Side: Left Side:
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HaamonaiworKtooe ertormeu unuerimspermit— cnecKau apply:
E:1HVAC Gas Tank E]GasPiping In _Shutters aWindows/Doors
11 Electric Plumbing []Sprinklers ElGenerator Roof Roof pitch
Total Sq. Ft of Construction: SE Ft. of First Floor:
Cost of Construction: $ 4,239.00 Utilities. Sewer D Septic Building Height:
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Name PAMELA LACHANCE
Name: Scott Berman
Address: 16 LAKE VISTA TRL 206
Company: Florida Window and Door
City: PORT ST LUCIE State: FL
Zip Code: 34952 Fax:
Phone No.860-301-5122
Address: 7108 Fairway Drive Ste 120
City: Palm Beach Gardens State: FL
Zip Code: 33418 Fax: 561-624-8037
Phone No. 561-340-4300
E-Mail: plachance@yahoo.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: Howard@Floridawindowanddoor.com
State or County License: CGC-1509450
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER:
Name:
x Not Applicable
MORTGAGE COMPANY:
Name:
x_ Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
x Not Applicable
BONDING COMPANY:
Name:
x Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
1 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
STATE OF FLORIDA
COUNTY OF SAINT LUCIE
The fgrgoinginstrument was,acknowledg@d eforeme
this � 1 day of (7C PCB 201_by
yaml a 1 a Can CL
(Name of person acknowledging)
�ZL � ouY u-A
(Signature of Notary Public -State of Florida )
Personally Known OR
Type of Identification ProdW
Commission No.
Revised 07/15/2014
RACHAEL ANN MESSMI
(ge l! Public - State of A
My Comm. Expires Dec 18,
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Signature of Cont"
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STATE OF FLOR —
COUNTY OF ,ef. rl�-,,c IVJ
The fo�rgoing instrument was acknowledged before me
this 3Lday of ,20_L1by
Swit Bemtan
(Name of acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Ve of IdentificationProduced
No. IAROLA(SWOMERSLA
17 P I ,a My COMMISSION # FF897717
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