HomeMy WebLinkAboutBuilding Permit Application FALLAPPLICA[LEINIF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q.
Date: Permit Number: l "
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Building Permit Application
Planning and'DevelopmentServices
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: -E&0#01F JA11'A.c/04VS
PROPOSED IMPROVEMENT LOCATION:
Address: 5730 Place Lake Drive,Ft Pierce,FL 34951
Legal Description:PORTOFINO SHORES-PHASE THREE-LOT 55
Property Tax ID#:1312-503-0011-000-5 Lot No.55
Site Plan Name: Block No.
Project Name:Barbara Bishop
Setbacks Front Back RightSide: Left Side:
DETAILED DESCRIPTION OF WORK:
Replacement of 10 windows
CONSTRUCTION INFORMATION: -"
t ona wor to a orme under this permit— ec a appy:
HVAC []Gas Tank ❑Gas Plping _Shutters Windows Doors
Electric 0 Plumbing Sprinklers 0 Generator Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 14,832 Utilities..
Septic Building Height:
OWNER/LESSEE:- CONTRACTOR:
Name Barbara Bishop Name:Toby Tokes
Address: 5730 Place Lake Drive Company:Armorvue Window&Door
City: Ft Pierce State: FL Address:1000 Clint Moore Rd Ste 109
Zip Code: 34951 Fax: City:Boca Raton State:FL
Phone No. 772-242-8467 Zip Code: 33487 Fax:
E-Mail: Phone No. 561-988-4222
Fill in fee simple Title Holder on next page(If different E-Mail:ttokesna,armorvue.com
from the Owner listed above) State or County License:SCC131151529
if value of construction is$2500 or mon:,a RECORDED Notice of Commencement is required,
SUPPLEMENTAL,CONSTRUCTION LIEN'LAW INFORMATION;
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 certifythat no work or installation has commenced priorto 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 au 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.
o
Sign'.ure ,i iNner gent I . SeeL Signat.ur6 of Cont or icense Holder
3 —
STATE OF LORIDA STATE OF FLORIDA
COUNTY F PAz-A4 COUNTYOF Palm ,6ea-moi
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisZO day of &g,dt 20 A by this ao day at 20A@1by
�/lot-of cI EXTA i2n %oha 7-,ok6S
Nameof person acknowledging) {Name of erson acknowledging)
ignature of Notafy Public-State of Florida) {Signature of N ary Public-State of Florida}
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produe Victoria Lee Murrell Type of Identification Produced
NOTARY PUBLIC y Victoria Lee Murrell
Commission No. _S }OF FLORIDA Commission No. NY PUBLIC
w' Carom#FF177686 a _STATE OF FLORIDA
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Revised 07/15/2014 `r✓1%�0% Expires 11/18/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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