HomeMy WebLinkAboutBuilding Permit Application . r ..rc 5„#j 'V1
SUPPLEMENTALCONSTRUCTION LIENLAW INFORMATION. t1G mt k; F
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DESIGNERANGINEER: 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 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 thepermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that 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.
C--�.'W C, - C"), s
Si nature of Co
ntractor/Licehs older
_Signature of Owner/Lessee/Agent g
STATE OF FLORIDA STATE OF FLOR DA -
COUNTY OF S "–� COUNTY OF 6+ WCl e
Thefgoing instrument was acknowledged before me The forgoing Instrument was acknowledged before me
this II day of (31&-q- , 20 �S_by this /; day of AU20 /'� by
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(Name of person acknowledging) (Name of person acknowledging)
(Signa"r of Notary Public-State of Florida) `(Signat:u of Notary Public- e f Florida)
Personally Known OR Produced Identification ✓ Personally Known_ OR Produced Identific tion 0/
Type of Id ti ication ro u I bZ by Type o �lQ
a� J�JA ""P'" DINAH G.C SHMAN
SPRY PUB
Commissi Notary Public,State of d�) Comm *`�= Notary Public-State of Flo �� )
n#FF 15313;1 S • » res Feb 28.2'017
My comm.expires Sept 9,2018 Commission#EE 879042
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
nECEIVED
Building Permit Application AUG 3 �p15
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 RS-4
PERMIT APPLICATION FOR: Window/door 17771
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PROPOSED,IMfP,ROVEMfNT
Address: 156 SE Prima Vista Blvd.
Legal Description: 28/36S/40E River Park Unit 5 Blk 50
Property Tax ID#: 3419-540-0028-000-8 Lot No.4/5
Site Plan Name: Block No. 50
Project Name: River Park Unit 5
Setbacks Front Back: Right Side: Left Side:
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DETAlL�D`DESCRIPTION QF WORK. fi i . F , } r4 S r �� �v a
Installation of 19 vinylimpact windows
CONSTRUCTION INFORMATION:
u i .its h •d—d .<. ", ¢ l Y. f+( �
Additional work to be nartormedunder tis permit-check a appy:
HVAC Gas Tank F.
Piping _Shutters Q Windows/Doors
Electric ElPlumbingSprinklers E Generator ORoof
Total Sq.Ft of Construction: 2324 So. Ft.of First Floor: 2324
Cost of Construction:$ $14,000.00 Utilities:0Sewer Septic Building Height: 15
CYOR * ,f
ni f Y
Name Robert Cook Name: Preston Ball
Address:2565 SW Cameo Blvd Company: Hiram Preston Ball Home Services
City; Port Saint Lucie State-FL. Address: 440 SSW Buxton Avenue
Zip Code: 34953 Fax: _ City: Port saint Lucie State:FL
Phone No. Zip Code: 34983Fax: 772-336-3590
E-Mail: Phone No. 772-528-4714
Fill in fee simple Title Holder on next page(if different E-Mail: hpball@bellsouth.net
from the Owner listed above) State or County License: SLC 23957
If value of construction is$25@0 or more,a RECORDED Notice of commencement is required.