HomeMy WebLinkAboutBuilding Permit Application SUFPLEMENTALICO:NST `k!TION LIEN LAW INfFt RMATII�N� ta
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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 property.A Notice of Commencement must be recorded and posted on the jobsite
b ore the first insp do you intend to:obtain financing, consult with lender or an attorney before
c mencin r o ecOrcring your Notice.of Commencement.
I _ sa
Signature o Own r/ a t/ Signature of Contractor/Llcense Ho
STATE OF FLORIDA STATE OF FLORI
COUNTY OF 1 ( COUNTY OF
The forgoing instrument was acknowledged before me The f oing instru ent was ackno ledge efore me
this�day ofd 20 1�by this day of ,20 by
{Name of person acknowledging) {Name of person acknowledging}
{ gnature of Notary Public-State of Florida} (Sig of Nota lic-St a of Florida)
Personally Known ✓/ OR Produced Identification P onally Known > AOR Produced Identification
Type of Identification Produced ype of Identifica i n Produrprl
JAMES HOWELLjW ik, JENNIFER NAJERA
Commission No. �. {�ggMMISSIox#FF246672 Commission N :?•• .-_ MISSIOf�(` 1�02610
aFP
EXPIRES:September 22,2019 z; EXPIRES July 23,2019
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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
j: {
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: "[ Permit Number: I 11LOrO i —® T�
RECEIVED
Building Permit Application JAN 2 9 2016
Planning and Development Services PERMITTING
Building and.Code Regulation Division St.Lucie County,FL
2306 Virginia Avenue,Fort Pleree FL 34982
Phone:(7.72)452-1553 Fax: (772)462-1578 Commercial Residential _
PERMIT APPLICATION FOR: Shutter
�PR�QPQSEDIi lPRO1lEMENTL( CAT N: � ,�NNa?
> :.. �
Address: 6501 PASO ROBLES BLVD,Fort Pierce,FL 34951
Legal Description: LAKEWOOD PARK-UNIT 9-BLK 116 LOT 14
Property Tax ID#:1301-611-0341-000-5 Lot No.14
Site Plan Name: Block No.
Project Name:Percy N Hazel
Setbacks Front Back: Right Side: Left Side:
D TAILED DE5CR1PTION t)F WORK. �g" `
�.._ .: y. .
Replace 13 Windows and 1 Doors
"NAP
:a !sr. dN"'1FCCNSTRU TMdNA ..."as.,..... ,., a..� k
itiona wor to a er ormeunderany i� T�t t vkEtr
ACICI
un er t is perm t—c ec a apply.
HVAC Gas Tank E]Gas Piping _Shutters Windows/Doors
DElectric
El [:]SprinklersOGenerator 0 Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 11137.00 Lit IItiestSewer Elseptic Building Height:
OUtrNER/LES5E. :;` ,4`CtC?NTRACTR 3 ' %yk 1;
Name Percy N Hazel Name:Dan Beckner
Address: 6501 PASO ROBLES BLVD 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: 33426 Fax:866-721-5332
E-Mail: Phone No. 561-732-0300
Fill in fee simple Title Holder on next page(if different E-Mail:paradiseexteriorsllc(Dgmail.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.