HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONd
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ALL APPLICABLE INFO MUST BE
Date: �I' 1 6 ' 11C
MAY 01 2018
L�_L
PPlanning 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: Shutter
PROPOSED IM'PROVENIENT'LOCATION:,'
Address: 16 LAKE VISTA UNIT 107, PORT SAINT LUCIE. FL 34952
Legal Description: VISTA ST LUCIE BLDG 16 UNIT 107
Number: U L/,� 076'I
Property Tax ID #:3422-500-0217-000-4 Lot No.
Site Plan Name: Block No.
Project Name: BRIAN & CAROL CONELLY
Setbacks Front Back Right Side: LeftSlde:
DETAILED DESCRIPTION OF 1NORK '' P � � ` � ;.
. u .
Replace 7 Windows& 2 Doors C fm �aL� SCANNED
St Lucie cnr,. &.
CONSTRUCTION INFORMATION:
'is
-
itlona wor
❑1 V1
to a er orme un
E] Gas Tank
ert permit —
❑Gas Piping
a
apply.
_Shutters
E]Wlndows/Doors
❑Electric
El Plumbing
[]Sprinklers
❑Generator
❑Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 12,000.00
S . Ft. of First Floor:
Utllltles:cnSewer ❑Septic
Building Height:
OWNER/LESSE7 ..
FCONTRA(
Name BRIAN & CAROL CONELLY
Name: DAN BECKNER
Address: 16 LAKE VISTA UNIT 107
Company: PARADISE EXTERIORS LLC
City: PORT SAINT LUCIE State: FL
Zip Code: 34952 Fax:
Phone No. 347-880-1949
Address:1918 CORPORATE DR
City: BOYNTON BEACH State:FL
Zip Code: 33426 Fax:
Phone No. 561-732-0300
E-Mall:
Flll In fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mall: paradiseexteriorsllc(a,gmail.com
State or County License: SCC131150472
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUFP,LEMENTALCONSTRUCTION LIEN LAW IIFOfiMAT101
�- ._
DESIGNER/ENGINEER:
Not Applicable
'>
,
_
MORTGAGE COMPANY:
_ Not Applicable
Name: (r rJ (� (7� �l �I 0A-%1
/ S'f
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDINITCOMPANY:
_Not Applicable
Name:
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 pennft holder to build the subject structure
which 15 in conflict with any applicable Home Owners Association rules, bylaws or and covenants 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
7
Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDqq�1
COUNTY OF ��.lull't COUNTY OF 1V( m
The 10r� oing instrum ntwas acknowledged before me
this /t dayof X'6r1GAi 20 14 by
1 !iGn CGr/4'G6/
{Name of person acknowledging-}'
(Sigpofur€e t 'State of Florida)
Personally Kno ✓ OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
The fo oing instrum wad knowledge efore me
this,daay-of�� 1yyr /��'' q'n�20 by p
(Name of person � owledging CJ
Florida )"
Known r_d OR Produced
Of
Z0504V D.PROPST� I Commission No.
COMMISSION a GG 164181
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DATE
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COMPLETE
INITIALS