HomeMy WebLinkAboutBuilding Permit Application a
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:y1�� 1� RECEII".D APR p 8 Z0�6 Permit Number._VGO
Building PP Permit Application
Planning and DevelapmentServices
8uiWng and Code Regulation Division
7300 Wryinlo Avenue,Fort Pierce FL 34382
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: 8tto(ter W
EJP.�SE3�.iM.PRE}VEl1IF Jt.'T LO.J.71
Address: 250 SHINN RD,Fort Peirce,FL 34945
Legal Description:07 35 39 FROM INT OF C/L OF ORANGE AV AN W LI OF SE 1/4 RUN E ALG C/L 108 FT
Property Tax ID#:2307422-0001-000-1 Lot No.
Site Plan Name: Block No.
Project Name:Gary&Janet Picklesimer
Setbacks Front Back: Right Side: Lett Side:
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Replace 15 Windows
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rtiona wor orme under t is permrt– e aMSh
appy:
UHVAC L—1I Gas Tank Das Piping _ utters a Windows/Doors
0 Electric 0 Plumbing Sprinklers FIGenerator D—Roof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 10,250.00 Utilities, Sewer Ej Septic Building Height:
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Name Gary&Janet Picklesimer Name:Dan Beckner
Address: 250 SHINN RD Company:Paradise Exteriors LLC
City: Fort Peirce State: FL Address.1918 Corporate Drive
Zip Code: 34945 Fax: City:Boynton Beach State:l`L
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(iif different E-Mail:paradiseexteriorsllc(ftmail.com
from the Owner fisted above) State or County License:SCC131150472
If value of construction is$2500 or more,a REMRRED Notice of Commencement is required.
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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 TITLEHOLDER: _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 Courny make no represerttlon thatis granting a permit will authorize the permit holderto build the subject st,cture
which is in co ct wrt a3applicable Home Owners Association rules,bylaws or and covenantsthat may restrict or proh It such
structure.Please consult with your Home OwnersAssodation 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 Codesand 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 usestoanother 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
Jelre the first inspection.If you intend to obtain financing,consult with lender or an attorney before
mencin w recordingyour Notice of Commencement.
atur of Owner/Agent/lessee Signature of Contractor/LI o der
T OF FLORIDA no OFF10!MLyn
� ��%l�' 1UNTY OF P
Thefo oinginstrument was acknowledged��reme The oinginstr wa acknowledg before me
th�,L±day of A pr i 1 201*by this day of 20_Oby
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(Name of person ackn _�� ry Public-State of Florid ameof persona nowledgln
•• •5 My omm.Expires Nov 6,201
IFFI�A�S Commission#f EE 216959
„111.,.
(Si ature of PUblfc= ridai--- -- gn reofNota u 1c-State lorida)
Personally Known Oa Produced Identification lly Known O oduced Identificati
Type of Identfficatian Produced Identification Producedfl
Commission No. — — (seal) Commission No. l�,\ F 2p19
40
V� ug.w^
Revised 07/1.5/2014 �a a
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS