HomeMy WebLinkAboutBuilding Permit Application ALL LEI YFO ZAS
,�41,11ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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
A�
WON,, R �111 I
518
Address: 13525 S INDIAN RIVER DR 104 JENSEN BEACH FL 34957
Legal Description: INDIAN RIVER LANDING BLDG I UNIT 104
Property Tax ID#:450980400040000 Lot No_
SitePlan Name: Block No.
Project Name- STEVEN JOAN AND JENNIFER CAMPBELL
Setbacks Front Back. Right Side: Left Side:
...
INSTALLING 2 SHUTTERS �C`�'
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric Plumbing Sprinklers ElGenerator Roof
Total Sq.Ft of Construction: S Ft of First Floor:
PV
Cost of Construction:$ !)'Z>. Utilities. Sewer12E
Septic Building Height:
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NameSTEVEN JOAN AND JENNIFER CAMPBELL Name: DANIEL BECKNER
Address:13525 S INDIAN RIVER DR 104 Company: PARADISE EXTERIORS
City: JENSEN BEACH State:FL Address: 1918 CORPORATE DR
Zip Code: 34957 Fax: City: BOYNTON BEACH State:FL
Phone No.618-315-7233 Zip Code: 33426 Fax:
E-Mail: Phone No. 5617320300
Fill in fee simple'rMe Holder on next page(if different E-Mail: PARADISEEXTERIORSLLC@GMAIL.COM
from the Owner listed above) State or County License: SCC1 31150472
If value of construction is$2500 or more,a RECORDED 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 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 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 1 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
comM-e-fting work or rdinR vour Notice of Commencement.
s
_ ignature f owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORID STATE OF FLOR A
COUNTY OF kk� 6 n COUNTY OF YY,
The forgging instru ent was acknowledged before me The foing instrunlqnt was acknowledged before me
this.j;& ay of 20�by this day of Y ,` 20 by
0'ojn.e'�iL I? "d p,��cA SCC)05'n-eAl
(N a of perso ac nowledging) (Name of Pers acknowled
( ignature of Notary Public-State of Florida) Si ure of Nota lic- of Florida)
Personally Known OR Produced identification Personally Know R Produced Identit!'
Type of Identification Produced (� L. Type of Identification Produced
Commission No. a� NA MATEIRO Commission No.
NbVfoublic,State of Florida 5�0
Commission#FF 209693
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My COMM.ONOF69 Marv.15,201
Revised 07/15/2014
_&'('V`C'S
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS