HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _
Date: V Permit Number: ✓y
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
7300 Virginia Avenue,Fort Pierce FL 34382
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential xx
PERMIT APPLICATION FOR: ShutteF WINDOW REPLACEMENT
PRC7PC3SED IIVIvPRDVEMENT LOCATION.
Address: 10320 Inverness Way,PORT ST LUCIE,FL 34986
Legal Description: CALLAWAY PLACE LOT 22 (OR 3134-379)
Property Tax ID#:3321-802-0028-000-9 Lot No.22
Site Plan Name: Block No.
Project Name:HAROLD&ANNE LEVY
Setbacks Front Back: Right Side: Left Side:
t
DETAILED DESCRIPTION C}F WORK'- , s
Install 9 Windows .Q2a.e
CONSTRUCTION INFORMATION ; .
Additional work to a erorme un ert is r it- ec appy:
HVAC E3 Gas Tank CIas,PipiF@ � Shutters x Windows Doors
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_Electric 0 Plumbing �Spri�kle� �
L)
Electric Roof
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Total Sq.Ft of Construction: i Ft.of First Floor:
Cost of Construction:$_12000.00 `
-,:,� Utilities: J Sewer Septic Building Height:
OWNEWLESSEE CONTRACTCIR ,
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Name HAROLD&ANNE LEVY Name:Dan Beckner
Address: 10320 Inverness Way Company:Paradise Exteriors,LLC
City: PORT ST LUCIE State: FL Address:2118 Corporate Drive
Zip Code: 34986 Fax: City:Boynton Beach State:FL
Phone No. Zip Code: 33436 Fax:866-721-5332
E-Mail: Phone No. 561-732-0300
Fill in fee simple Title Holder on next page( if different E-Mail: paradiseexteriorsllc(a,gmail.com
from the Owner listed alcove) State or County License:SCC131150472
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTIGN LIEN LAV// INFQRMATIOW,
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City-, City:
Zip: Phone: Zip: Phone:
I certifythat no work or Installation has commenced prlorto the Issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize thepermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenantsthat 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 our Notice of Commencement.
Signature of Own Agent Lessee _ Signature of Contractor/Llcense Holder
STATE OF CFLORIDA STATE L,UCE COUNTY F FLORIDA
COUNTY O n
Y OF�L.M 3C/4C-I
The forgoing instrument was acknowledged before me The forgoing Instrument-was acknowledged before me
this J-day of�,a pi2 I I . 20 ��-_�by this a day of 114E .201g-by
Rm&ie'B. Lev�
{Name of person acknowledging} {Name of person acknowledging}
{Sature of Notary Public-State of Florida} {Signatu of Notary Public-State of Florida,an }
Personally Known OR Produced Identification Personally Known R:',R'todgVI %IfAl ftrtl N
Type of Identification Produced Type of Identification P °du
�arp� mmission No F 4 EXPIR �pcember 3,2018
Commission No. o e, �{6k }Public State or Florida a II
James Howell a Floc darJota S c a
• -- — - -
9 cQ My Commission EE13
es 22!2015
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS