HomeMy WebLinkAboutBuilding Permit Application I
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED II ((� (y
Date: Permit Number: G 'D EJ-''
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: Shutter
;PROPOSED IMPROVEMENT LOCATION;:
Address: 960 Godfrey Rd,Fort Pierce,FL 34945
Legal Description: 07 35 39/18 35 39 W 476 FT OF S 349 FT O OF S 1/2 OF SW I/4 OF SEC 7!AND W 476 FT OF N 5 FT OF NW 1/4
Property Tax ID#:2307-333-0001-000-8 Lot No.
Site Plan Name: I Block No.
Project Name:Elizabeth S Miller
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTIdN OF Wbkk:
Replaced Windows and 2 Doors
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CONSTRUCTION N.FORMATIC±N i
Itiona wor to (ever orme under tis —checkpermit a appy:
HVAC L_I Gas Tank ❑Gas Piping _Shutters X�' Windows/Doors
]Electric El Plumbing Sprinklers OGenerator I 0 Roof .
Total Sq. Ft of Construction: SFt.of First Floor:I
Cost of Construction:$ 18000 Utilities:Sewer]Septic building Helght:
]INNER/LES$'EE:. ,CONTRACTOR
Name Elizabeth S Miller Name:Dan Beckner
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Address: 960 Godfrey Rd Company:Paradise Exteriors,LLC
City: Fort Pierce State: FL Address:1918 Corporate Drive
Zip Code: 34945 Fax: City:Boynton Beach State:FL
Phone No. '1?-Z- ck77 -_?925f- Zip Code: 33426 I 1 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(a,izmail.com
from the Owner listed above) State or County License:SCC131150472
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required, I
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S,UPPLEMENTA.L CONSTRUCTIO-N LIEN I.A INFURMATIgN:
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City,: i State:
Zip: Phone: Zip: Phone:
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name: I
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count makes no representation that is granting a permit will authorize the permit holderto 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 Amendment's.
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.
Signatur of Owner/Agent/Lessee Signature of Contractor/License i older
STATE OF FLORIDA STATE OF FLORI I �C� �
COUNTY OF S-r LLL C l E COUNTY OF
The foroin instru} nt was acknowledged before me The fo 1ng instru rt r�ra cnowled before me
this day of I� 20 14 by this day of. (�/I 20Vby
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1/1146 CkA(\I CA 'Rr bor
tName of person acknowledging) ;IgnatAe
e of person ackn edging}
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( i a re of Notary Public-State of Florida) of Nota ic-S f Florida)
Personally Known OR Produced Identification a onally Known OR 4oduced Ide on
Type of Identification Produced Type of Identification Produced'11
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Commission No. mAiI a o. ..'aso Commission N ��� y\ 09
JHOWELL \�
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Revised 07/15/2014 a Eh�-,53 I
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW I REVIEW REVIEW
DATE
COMPLETE
INITIALS
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