HomeMy WebLinkAboutBuilding Permit Application I
ALL APPLICABLE B INFO (MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ) ,/ ' �1
Date: cam ) ` / (' Permit Number: y ��
• RECEIVED'
Building Permit Application
Planning and Development Services APR 2 0 2016
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (7 I2)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Window/door
PROPOSED INiPR IVEM.ENT LOCATION:
Address: 7590 Gullotti Place, Port St. Lucie, FL 34952
Legal Description: ST LUCIE GARDENS 24 36 40 BLK 3 N 330 FT OF LOT 12 (2.50 AC- 108,900 SF)
(MAP 34/24S) (OR 3821-1742)
Property Tai ID#: 2414-501-1112-050-8 Lot No. 12
Site Plan Name: Block No. 3
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION_OF�WNORK
Replace 11 Windows,Size for Size with Impact Products.
CO.NSTRWCTION INFORMATION.
m Additional wor to be Dertormed under this permit—check all apply:°
HVAC Gas Tank ❑Gas Piping _Shutters ✓❑Windows/Doors
111EleaI ric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ftl of Construction: SCI. Ft.of First Floor:
Cost of Construction:$ `� S 36.00 Utilities:Sewer E]Septic Building Height:
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OWNER/LESSEE „ CONTRACTOR:
Name John and Darlene McKinney Name: Mark Collins
Address: 7j590 Gullotti Place Company: Window World of West Palm Beach
City: Port St. Lucie State: FL Address: 1500 N. Florida Mango Road, Suite 16B
Zip Code: 34952 7�/�l Fax: /; City: West Palm Beach State: FL
Phone NoJ 0 '_ �q ��. .�� Zip Code: 33409 Fax: (561) 684-2050
E-Mail: Phone No. (561)684-2040
Fill in fee simple Title Holder on next page(if different E-Mail: WestPalmBeach@WindowWorld.com
from the Owner listed above) State or County License: CBC1260052
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN"LAW INFORMATION::
DESIGNER/,ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable,
Name: i Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: 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:
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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 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 OWN :Your failure to Record a Notice of Commencement may result in your paying twice for
improvements o prope o ' e of Commencement must be�rerd and po on the jobsite
before the ' st in ecti you intend o obtain financing, cons er or attorney before
comme lla k o cordin o N ice of Commenceme %
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gnature of Owner/Lessee/Agent ture of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF PALM &i Fp Cy- COUNTY OF Palm Beach
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this `day of &1-;/ 20&—by this 21st day of March 120/19 by
1 Mark Collins
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(Name of person acknowledging) (Name of person acknowledging)
a ure of Nota blic- ate of lorida) lgnature of N otarJVubIic- o ate Florida)
Personally Known ✓/ OR Produced Identification Personally Known X OR Produced Identification
Type of Iden ification Produced Type of Identification Produced
Commission No. Commission No. 33}3$10 (SMPLA J. LEBLAN
PAULA J. LEBLANC ZAP itio-ttrq f°�p�;u��� Notary Public,State of--tori
i� =�'•.G`5"?%a� M comm. expires Noe. :.20
`:�;c�ti!'�° My Corrifit. Axpir69 Nov. 4,201! %`,;, ;.�`� commission Number
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Revised 07/15/2014 �,,,, C60fetitti6h Number FF933886
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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