HomeMy WebLinkAboutBuilding Permit Application ii
ALL APPLICABLE IN` OO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ��^ ��
Date: oC�_ Permit Number: 5
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 X
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATIQN, F
Address: 2109 EDWARDS RD,Fr Pierce,FL 34982
Legal Description: COL H D GOFORTH S/D BLK 2 LOTS 1,2 AND 25
Property Tax ID#:2428-602-0026-000-6 Lot No.
Site Plan Name: Block No.
Project Name:Emmanuel & Brenda Macias
Setbacks Front Back: Right Side: Left Side:
L}ETAILED DESCRIPTION OF WORK mk
Replace 13 Windows
CONSTRUCTIQN INFORMATION
v
Additional wor toa performed under this permit—clecK all appy:
❑HVAC Gas Tank E:]Gas Piping _Shutters a Windows/Doors
11 Electric ❑Plumbing ❑Sprinklers ❑Generator ❑Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 14,823.00 utilltles:cnSewer❑Septic Building Height:
'QWRERAESS'EE CONTRACTOR
Name Emmanuel & Brenda Macias Name:Dan Beckner
Address: 2109 EDWARDS RD Company:Paradise Exteriors,LLC
City: Fr Pierce State: FL Address:1918 Corporate Drive
Zip Code: 349�82 Fax: City:Boynton Beach State:FL
Phone No. r[r] Q _ oZ" 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(a,email.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.
. 1
S" RPLEMENTAL CONSTRUCTION LIEN LA�tI! lNF6AwT,
,
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 holderto build the subject.structure
which is in conflict with any applicable Home owners Association rules,bylaws or"and covenantsthat 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.
Slgnature o Owner/Agent/Lessee Signature of Corfr6a6F/License"H6lder`
STATE OF FLORIDA STATE OF FLOR DA CLOQ
COUNTY OF (E COUNTY OFC1�.
The forgoing instrument was acknowledged efore me The oing instrLmgnt was a }�owledge before me
this 15day of j��)f20 20 by this day of Q1 ► \ ,z0 by
(Name of person acknowledging) (Name of person nowledgin
i nature of Notary Public-iiij
(Sign ure of Nota ubli�c-State o rids)
Personally Known V ication ersonally Known `r OR duced Identification
Type of Identification Produ Type of Identification ProduceV
HOWELL YP jEN141FER NAJERACommission No. sloN#FF24m72 Commission No. ;�''� u�:eptember 22,2019 COMPAIS�i��F2902810
��,.� �Xf=1RE9 July 23,2019
(A07139S•C"5g
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW• REVIEW REVIEW
DATE
COMPLETE
INITIALS