HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permft.Number: I S17 vol,13.
RECEIVED
Buildift Permit Application JUL 14 .2015
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 Residential x
PERMIT APPLICATION FOR:, DOOR REPLACEMENT
PROO 8'
"'PR
-ED]M' VEMET'_,T�`LOCATTIO
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,Address: 5311 Echo Pines Cir W.FORT PIERCE, Fl,34951
Legal Description:HOLIDAY PINES S/D-PHASE I-LOT 156
Property Tax ID#43H-5000-015?-000-1 0 1 S_C' o.
Site Plan Na hie; Block NO.
Project Name:SANDRA &STEVEN BARAN
Setbacks Front Back: Right Side: Left Side:
A 4
_
DETAII'ED ES"'CR1PTION'-F:" R
o
Install 1 Door
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Aciclltlonal workto be nertormed under this permit—check-.all apply..
0HVAC Gas Tank [:]Gas-Piping _Shutters ❑Windows/Door
s
0 Electric El Plumbing [:]Sprinklers ElGenerator Roof
Total Sq.Ft of Construction: S . of First Floor:
Cost of Construction:$ 9000.00 Uti lities:11 Sewer ESeptic Building Height:
WN
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0 KIL AM
Name SANDRA&STEVEN BARAN Name:Dan Beckner
Address:.5311 Echo Pines Cir W Company:Paradise Exteriors,LLC
City: FORT PIERCE State: FL Address.2118 Corporate Drive
Zip Code: 34951 Fax: City:Boynton Beach State:FL
Phone No. Zip Code: 33436 Fax:866-721-5332
E'-Mall: Phone No. 561-732-0300
Fill in fee simple Title Holder on next page(if different E-Mail:ParadiseexteriorslIcOgmail.com
from the Owner listed above). State or County Ucense:SCC131150472
I
I value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTI N LIEN LAW iNFORMATION t
. .
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:
(.certify that no work or installation has commenced priorto the issuance of a permit.
St..Lucle Counttyy makes no representation that is granting a permit will authorize the permit holderto build the subject structure
which is in-eonflict with any applicable Home Owners Association rules,bylaws or and covenantsthat"may restrict or prohibit such
structure.Please consult wlthyourHome Owners Association and review your deed for any restrictions which may apply.
in consideration of-the granting of this.requested permit,,,l4o hereby agree that I will,,in all respects,perform the work
`iri accordance with theapproved plans,the Florida Building Codes and St. Lucle`CountyArnendments.
The.following building permit applications are exempt from undergoing a-full concurrency-review:-room additions,
accessory structures,swimming pools;fences,walls,signs,.screernrooms and accessoryuses to another non-resldential 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't first inspection. If you intend to obtain financing,consult with lender or an attorney before
,coMm4AcinRwQrk,or rcwding your Notice of Commencement.
_ s
Signature-of Owner/ nt/Lessee Signature,o ,Contractor/Lice older
:.STATE OF FLORIDA STATE OF FLORIDA/,,,/rn
COUNTY.OF �S� (tcUr= COUNTY OF
The
The forgoing"instrurnentwas'acknowledgedbefore me The oinginstrumentwas acknowledged before me
this 9-97day of VJ 20 f by this day of 2o_'by
Ll
�2>0e nom!
(Name of person acknowled Ing) {Name of person acknowledging}
(Sign Ire of Not Public-State_ of Florida-) (Signature o ry,Public-State of Florida}
Personally Known OR Produced Identification Personally Know , T n
Type.of Identification Produced Ty Identifi Iv "oCCc HIE MARIE'ELLISON
_.:
Commission No. aY p otary Punic Stets of FI rtda MY COMMISSION#FF180900
�, r eak� am sion No. .• (RES De��s71�r 3,2018
James Howell OFF•..•`
•-_ c my commission EE132 61 (407)398-0153 FlorldallotaryService.com
OF 0°
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
.COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS