HomeMy WebLinkAboutBuilding Permit Application 'i
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: �U!0 3 • 039
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Building Permit Applicati®n
Planning and Development Services
Building and Code Regulation.Division
2.300 Virginia Avenue,Fort Pierce FL 34982 !j
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residentjal, x
PERMIT APPLICATION FOR: Shutter
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PROC►SED I IVI PRQVEM ENT LQCATION:
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Address:_116 QUEEN CATHERINA CT,Hutchinson Island,FL 34949
Legal Description:QUEENS COVE-UNIT 2-BLK 22 LOT F
Property Tax ID#:1414-702-0016-000-4 Lot No.
Site Plan Name: Block No.
Project Name.Terry&Donna Hopper
Setbacks Front Back: Right Side: Left Side:,
.:DETAILED-DE SCRIPTION.t7F WORK k nisi
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Replace 1 Windows
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CON'S.TRUCTION.INFORMATION
Additional work toa nertormed under this permit—check a appy:
❑HVAC Gas Tank ❑Gas Piping _Shutters x. Windows Doors
❑Electric ❑ Plumbing [].Sprinklers 1:1 Generator ,I Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 980.00 utllities:1Sewer❑Septic (Building Height:
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VI/NER/LESSEE: s, TRA
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Name Terry&Donna Hopper Name:Dan Beckner 1.
Address: 116 QUEEN CATHERINA CT Company:Paradise Exteriors,LLC
City: Hutchinson Island State: FL Address:1918 Corporate Drive
Zip Code: 34949 Fax: City:Boynton Beach State:FL
Phone No. I' til 5`)(n 0 Zip Code: 33426 i Fax:866-721-5332
E-Mail: Phone No. 561-732-0300 1.
Fill in fee simple Title Holder on next page(if different E-Mail:paradiseexteriorsllc(a ,gmail.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. I
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wSUOOLEMENTAL CONSTR�UCTIOINILIEN LAl[V INFQ
RMATION',n ! ,4
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zipt Phone: !
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
1 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
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.
Signature of Owner) g t/Lessee Signature of Contractor/Licen
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ti. L ua l E COUNTY OF 7i 3d, fn Prarb
The forgoinginstrumentwas acknowledged efyre me Theoing ins ent as acknowledgqql me
this f da of MAP 01 { 20 b this day of 20 by
�Q�N� S •N o•P�c �G�/Yl� � ; Y1.�/j�
{Name of person acknowledging} 'e JAMES HOWEL { me of person -cknowledgi
My COMMISSION#FF24 72
EXPIRES:Sept
eaia 22,20 9
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ignature of Notary Public-State of Florida} ;ersonaully
ig re of Notary ic-Stat f Florida)
Personally Known ✓ OR Produced Identification Known LiQR Produced Identification
Type of Identification Produced Type of Identification Produced;
Commission No. {Seal} Commission �aaa.�e9t� ae �6
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:e ,: MY COM 23,2619
�N�P ' .4�� AXP OtidiPNdli �tSIVI,[j P,On'
Revised 07/15/2014
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS �
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