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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