HomeMy WebLinkAboutBULDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i Q `L �O'� 30
Date ,�_�/t� Permit Numbe . l U J
CANNED RECEIVED',
• 5t. Lucie County
Building Permit Application MAR 26 2018
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 _
PERMIT APPLICATION FOR: Window/door
Permitting Department
St. Lucie County, FL
Address: 6006 Indrio Road, Unit B4, Fort Pierce, FL 34951
Legal Description: INDIAN PINES VILLAGE-BLDG B UNIT 4 AND PRO-RATA SHARE IN COMMON ELEMENTS
(OR 1626-1311 : 1932-713)
PropertyTax ID fi: 1313-501-0012-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF;WORK
Replace 3 Windows, Size for Size with Impact Products.
J IV J.IKUI.,hIIJ IVI IIV K"V tt'IVIHI ILAN:
tditionalwork to be ertormed under this permit —cl
❑HVAC - Gas Tank ❑Gas Piping
❑Electric El Plumbing []Sprinklers
❑_Shutters Windows/Doors
❑ Generator ❑ Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ � ���5 oa Utilities: _ Sewer ❑Septic
Building Height:
O1tVNERjLESSEE
CONT.R'ACTOR:
--Name Allen and Clarissa Coleman
-Name: Mark Collins
Address:6006 Indrio Road, Unit B4
Company: Window World of West Palm Beach
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 772-464-3824
Address: 1500 N. Florida Mango Road, Suite 16B
City: West Palm Beach State: FL
Zip Code: 33409 Fax: (561) 684-2050
Phone No. (561) 684-2040
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: westpalmbeach@windowworld.com
State or County License: CBC1260052
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
i
DESIGNER/ENGINEERNotApplicable MORTGAGE f OMPANy: Not Applicable
Name: Name:
Address: Address:
State: _ City: State:
City: Phone:
Zip: Phone Zlp•
FEE SIMPLE TITLE HOLDER: )C Not
City:
Zip: Phone -
BONDING COMPANY --
Address:
City:
Z;p: Phone,
obtain a permit to do work and installation as indicated.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to
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 ermit holder to build the subject structure
which' in conflict with any applicable Home Owners Association rules, bylaws or angcovenants that may restricty rprohibit 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 concurency review: room additions,
.ffe«,. srn,rtures. swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
To OWNER: Your failure to Record a Notice of Comm
>n1s5p your property. A Notice of Commencement
rf ran` soectio"vou intend to obtain financing, c
for Owner
result in your paying twice for
Jed and posted on the jobsite
d,z%rart-attornev before
STATE OF FLORIDA n� /rn h STATE OF FLORIDkm-L ��
COUNTY OF +K�._.Ti 0� COUNTY OF Y
The f oing instrument was ac nowledged before me The for oing instru��nne�� nt was acknowledged before me
this rY1/'.20�by tliisdaYpf McciC/-, 20 y
fn j
Name of perso akrng statement Nameof perso making statement
Perscnallyy�Sown _ OR Produced identification
Personal y mown � OR Produced Identificatipn _ Typ of Id tifiration
Type of Identification .n uf..i„f I
REVIEWS
Rev. 8/2/17
A. P OP'ES --
KIMBERLY A. PWES com't.11 si n-ft.' a= Notary P;REVIEW
c,state(Mlida
State of Florida ?�,1 eP My commpires Sept, td, 2021
...
My comm. expires Sept. 14, 2021 �•,,; ;,`,�r�'� CommisNumher GG id3235
Commission
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