HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / �a
Date _ !�✓ Permit Number:
5 Building Permit Application
Planning and Development Services /
Building and Code Regulation Division ✓/
2300 Virginia Avenue,Fort Pierce FL 34,982 _
Phone:(772)462-1553 Fax: (772)462-1578 Commercial_ Residential
PERMIT APPLICATION FOR: def. WINDOW REPLACEMENT
„PW0 IED IMPROVEME T LC7CATlG
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Address: 5302 SUSON LN,FORT PIERCE,FL 34951
Legal Description:HOLIDAY PINES S/D-PHASE I-LOT 166
Property Tax ID#:1312-500-0167-000-4 Lot No.
Site Plan Name: Block No.
Project Name:Doug&Elizabeth Wilcoxson
Setbacks Front Back: Right Side: Left Side:
> d .
Install l0 Windows and-V Doors
Aclditiona wor to a erorme under tis permit—cheCK all tba appy:
❑HVAC Gas Tank ❑Gas Piping _Shutters rX_1 Windows/Doors
❑Electric ❑ Plumbing Sprinklers ❑Generator ❑Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1P 1 o• 6D Utilities:11Sewer❑Septic Building Height:
ODUNER/IESSEE:hR 4
i
A
CIN-TIs ' � '
Name Doug&Elizabeth Wileoxson Name:Dan ner
Address: 5302 SUSON LNC'=Comp nradise Exteriors,LLC
City: FORT PIERCE State. FL Address' 18 Corporate Drive
Zip Code: 34951 Fax: City.0oyg9 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:paradiseexteriorsllcC,2mail.com
from the Owner listed above) State or County License:SCC131150472
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPL CONSTRUCTION LIEN
PLEMENTALAVH INFORMATION
_U"'C
. . ,
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 priorto the Issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holderto 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.
Signat re f Ow er/Agent/Lessee Signature of Contractor/License Holder
STATE OF COUNTY OFI.ORIDA� ' r (I rG COUNTSTATEOF FL
Y OF T A ro' JA
Theoing instrument was acknowledged ore me The forgoing lnstrumer was acknowledged before me
this day of PQ l ( 20 1& by this '2_5�day of r -I L ,20_1Sby
(Name of person acknowledging) (Name of person acknowledging}
(Sign ure of Notary Public-State of Florida} (Signature o Notary Public-State of Florida}
Personally Known V OR Produced Identification Personally Known �roduced Identification
Type of Identification Produced Type of Identification Pr@o'd''d
" MY COM pN#FF180900
Commission No. aY P� l public State of Florida C mission No. �i
.P e, OFF� • EXPIRES December 3,2018
James Howo nEE132561 ""'
407 388.0163 to
rF�°o-� E�ires 0912212015
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS