HomeMy WebLinkAboutBuilding Permit Application 7 �
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:a.�10 ,16 Permit Dumber.
RECEID FEB 10 2916
_-- - Building Permit Application
Planning and DevelopmentServices
Building and Code Regulation Division
7300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)452-1553 Fax:(772)46e-3578 Commercial xxx Residential
PERMIT APPLICATION FOR Shutter
PROPOSED-IMPROVEMENT LOCATION.:
Address: 5410 Palm Dr-Fort Pierce_FL 34982
Legal Description:INDIAN RIVER ESTATES-UNIT 08BLK 56 LOT6
Property-rax ID#-.3402-609-0144-000-3 Lot No.6
Site Plan Name: Block No.56
Project Name:Glenn&Margaret Szczesniak
Setbacks Front Sack Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 7 Windows f
CONSTRUCTION INFORMATION:.
itiona wor to orm under this permit— e all. appy:
HVAC Gas Tank E].as Piping _Shutters Fx]Windows/Doors
DElectric F-1 Plumbing Sprinklers ®Generator Roof
Total Sq.Ft of Construction: So.Ft.of First Floor:
Cost of Construction:$&50-00 Utilities: Sewer®Septic Building Height: 12
OWNER/LESSEE: 'CONTRACTOR:
Name Glenn&Margaret Szczesniak Name:Dan Beckner
Address: 5310 Palm Dr Company:Paradise Exteriors.LLC
City: Fort Pierce State: FL Address.-2118 Corporate Drive
Zip Code: 34982 Fax: City:Boynton Beach State:FL
Phone No. Zip Code:33426 Fax_866-721-5332
E-Mail- Phone Pio. 561-732-0300
R1111 in fee simple Title Flakier on next page(if different E-Mail-aaradiseexteriorsllcQgmail.com
from the Owner listed alcove) State or County License:SCC131150472
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEM,ENTAL.00.NSTRUCTI0N LIEN LAW INFORMATION:
DESIGNERIENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: Statim City. State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name. Name:
Address: Address-
City: City:
Zip: Phone: Tip: Phone-
t ceru7y that no work or iht (Ia an has connneaced prior to the issuance of a permit
St.LucieCoun�tyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which isin conflict with anyapprrcable Home Owners AssocWon 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 room 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 yo d to obtain financing,consult with lender or an attorney before
commen " w r reco our Notice of Commencement.
Sign re of O her/Agent) Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA ��
COUNTY OF �1c .� COUNTY OF b s
The forgoing instrum was acknowledged before me The f=oing instr enR was acknowledged before me
this O day of 20 16 by this day of 20_JS by
D,C ai .Q 'AV-Y) Q�--e—IY
(Name of person acknowledging) (Name of pe acknowledgi )
(Signature of Notary Publr=State of Florida) nature of N Public- a of Florida}
Personally Known OR Produ d� ro�F�oc�d 16' Personally Known OR Produced Identification
Type of Identification Produced, ` S �� ,Type of Identification Produced
a�1 P XP�Se 05 ss
Commission No. NGls�p°# �No�ac 1 P , commission No. MI�11I� E12A
r NIY r #3 2 o9s�o
r '
,.� e n .° c': �o"�,.t.�• :, R'... ," - � epic.
Revised 07/15/20
5
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