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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ,S�� �/' C
Date: n1 1p Permit Number:
AUG 2 6 2015
Building Permit Application
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
PERMIT APPLICATION FOR: Window/door
,PROPOSED'IM,P-ROVEMENT LOCATION:' -
Address: 2852 Iroquois Ave Ft Pierce FL 34946
Legal Description: SAN LUCIE PLAZA-UNIT ONE-BLK 55 S 25 FT OF LOT 25 AND ALL LOT 26 (MAP 14/28S)
(OR 3757-1040)
Property Tax ID#: 1428-702-1201-000-8 Lot No.
Site Plan Name: Block No.
Project Name: Janata
Setbacks Front Back: Right Side: Left Side:
=DETAILED DESCRIPTION`OF WORK
Replace 7 windows and three doors size for size
CONSTRUCTION INFORIVIATIQN. . �`
�.. . �� �. z, =,
_Ad
ditional work to e e orme under this permit—c ec a appy:
HVAC Gas Tank Gas Piping _Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 4V Sq. Ft.of First Floor:
�,e�i
Cost of Construction:$ /©,�1� Utilities: _Sewer E]Septic Building Height:
OV1/NER/LESS_.EE CO.IVTRACTOR
NameJames Janata Name: Mark Collins
Address:2852 Iroquois Ave Company: Window World of West Palm Beach
City: Ft Pierce State:FL Address: 1500 N Florida Mango Rd Ste 16B
Zip Code: 34946 Fax: City: West Palm Beach State.FL
Phone No.330-685-0965 Zip Code: 33409 Fax: 561-684-2050
E-Mail: Phone No. 561-684-2040
Fill in fee simple Title Holder on next page(if different E-Mail: westpalmbeach@windowworld.com
from the Owner listed above) State or County License: CBC1260052
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
L cbNST-,RUCTl INFORMATION;;
SUPPLEMENTAL ON, LIEN W1N0RMATI
0
DESIGNER/ENG INEER: 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 theermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or an9covenants 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 bo-r3morded and posted on the jobsite
before the_f9t inspection
t,�WTqu intend to obtain financing, con�is�w,* h len r or orney before
comme
.F(cipg wq;.Vbrr,9`coApg your Notice of Commencement
s
—S!Signature of Owner/Lessee/Agent Afg'nature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF STLucie COUNTYOF STLucie
The forgoing instrument was acknowledged
Wore me The for%ng instr acknowledged be ore me
this this e�ay of XnZ/= 20
ay of 20-1:f2-by —6by
Mark Collins Mark Collins
(Name of person acknowled A131GAIL JMSON (Name of person acknowledgir
syr 9) ABIGAIL JOHNSON
Notary Publlc, State of Florida
my comm. expireg May 19, 2010 Notary Public,State of Floric,
Number FF 232438 May 19, 201
16Q Com"clon Numhe; FF 3243
(Signature of Notary Public-State of Florida) (SignaturFof Notary Public-St9t.
Personally Known OR Produced Identification Personally Known >' OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
M
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: p•I Permit Number:
RECEIVED
Building Permit Application AUG 2 6 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
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT
Address: 2852 Iroquois Ave Ft Pierce FL 34946
Legal Description: SAN LUCIE PLAZA-UNIT ONE-BLK 55 S 25 FT OF LOT 25 AND ALL LOT 26 (MAP 14/28S)
(OR 3757-1040)
Property Tax ID#: 1428-702-1201-000-8 Lot No.
Site Plan Name: Block No.
Project Name: Janata
Setbacks Front Back: Right Side: Left Side:
DETAILEDDESCRIPTION OF�WORK � ,HI
-,... • � W.aa,.s_ .e .v. .= Stet„ s _4�i�
L In
&f':"X h ►�r c a r� S h..�-F t-e rS p o r
© pry
CQNSTRUq ON INFORMATION T T
Additional work to be erformed- under this permit—check a apply,
Gas Tank Gas Piping `� Shutters ❑Windows/Doors
❑Electric 0 Plumbing Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ Utilities: _Sewer❑Septic Building Height:
OWNER%LESSEE CONTRACTOR e
NameJames Janata Name: Mark Collins
Address:2852 Iroquois Ave Company: Window World of West Palm Beach
City: Ft Pierce State:FL Address: 1500 N Florida Mango Rd Ste 16B
Zip Code: 34946 Fax: City: West Palm Beach State:FL
Phone No.330-685-0965 Zip Code: 33409 Fax: 561-684-2050
E-Mail: Phone No. 561-684-2040
Fill in fee simple Title Holder on next page(if different E-Mail: westpalmbeach@windowworld.com
from the Owner listed above) State or County License: CBC1260052
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIELAW INFORMATION: '
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 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 permit 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 propert otice of Commencement must Fe.rrded and posted on the jobsite
before the fist-trQs ecti you in end to obtain financing, consnder a torne before
commenc ' ,v�co �or ordin r Notice of Commenceme
/ s
� nature of Owner/Lessee/Agent B' ure of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF STLucie COUNTYOF STLucie
The pg instru nt was acknowledge before me The for ging instru ent was acknowledged b me
this ! day of 20 �by this day of 64 20 O by
Mark Collins .1 Mark Collins
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known 5'�_ OR Produced Identification
Type of Identification Produ pe of Identification Produced
`';N' °"""'' IGAIL JOHNSO
`tea,, .,r�� , `.:�pNYp�a.
Commission No. 0 1 (NMV publit, $lath 0 Flori aC mmission No. _u:• c=-(5
yr��•,•„ ,�� il
My doMti1. dxpiifte M6y 111, 19
G��inlis3iotl Nu9iB@t {K�3aa 0 ; :, ry Public,State of Flori
��: My comm. expires May 19, 2
;F�•••:o;
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMP LETS
INITIALS