HomeMy WebLinkAboutBuilding Permit Application ALL APPLI BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED - //��
Date: ' ��I (P Permit Number: (�
J RECEIVE®
Building Per it Application SEP 2 9 2016
Planning and Development Services
Building and Code Regulation Division
7300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Com ercial Residential ✓
PERMIT APPLICATION FOR:
Address: 110 BEACH AVE PORT ST LUCIE FL 34952
Legal Description: RIVER PARK UNIT 3 BLK 26 LOT 1
Property Tax ID#:3419-515-0158-000-8 Lot No. 1
Site Plan Name: Block No. 26
Project Name: DAVID& KAREN FLORES
Setbacks Front Back: Right 51d Left Side:
�D�TAIEUtDSCRIPTION'OF
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F S1 5
Replace 12 Windows �,y�Defy
CONSTRUCTION{INFO"RNIATICNq
itiona work toa performed under this permit—ch cKall appy:
E1HVAC Gas Tank ❑Gas Piping hutters Windows/Doors
Electric El _InS
Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 11,600.00 Util tlestSewer Septic Building Height:
Q�11'INER/LESSEE E CONTRA y OR a
...eS ns .•.xk, ,( .LA s, { »*g
Name DAVID &KAREN FLORES Name:Dan Beckner
Address: 110 BEACH AVE Company: Paradise Exteriors,LLC
City: PORT ST LUCIE State: FL Address:1918 Corporate Drive
Zip Code: 34952 Fax: City:Boynton Beach State:FL
Phone No, 786-356-9548 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(&gmail.com
from the Owner listed above) State or County License: SCC131150472
If value of construction is$Z500 or more,a RECORDED Notice of Commencement is required.
SURPLEMENIAL CN5TRUCTI01� LIEN LAW INS RMATIC�Nr '
.s
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 workor installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is,granting a perm will authorize the permit holder to build the subject structure
which is in conflict with anX.applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Homeowners Association an review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do he eby agree that I will, in all respects, perform the work
In accordance with the approved plans,the Florida eutlding Cad sand 5t.Lucie County Amendments.
The following building permit applications are exempt from and rgoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screerooms and accessory uses to another non-residential use
WARNING:TO OWNER:Your failure to Record a Notice f Commencement may result in your paying twice for
improvements to your property.A Notice of Con mmeement must be recorded and posted on the jobsite
before the,first inspection. if.yyou intend to.obtain fin ncing,consult with lender or an attorney before
-commencingwork or recordingour Notice of Comm ncement.
5 nature of Owner/ ent Lessee Sign a of Contractor/Licens der
STATE OF FLORIDA STATE OF FLORr
COUNTY OF OT hu-0,Ic- COUNTY OF. ` t'G�\ � C�GC�'�
The forgoing instrument was acknowledged Defore me The forgoing instrument was acknowledged before me
this 22- day of SEPT 20 'b by this day of 20VO by
{Name of person acknowledgi P' {Name of person acknowledging)
JA1vIES HOWELL
My COMMISSION it FF2466
XYZ E}�IRES:Septembe<
22,201
oFF.
{S' nature of Notary Public-State a orida} {Signature of Notary Public-State of Florida}
Personally Known OR Produced Identification Personally Known OR Produced Identification 1
Typeof Identification Produced Type of Identification Produced IE :-
HEAT #000 3
Commission No. ;;;r•'.°y f ISSION 2020
{Seal} Commission No. 27,
M �g.lune m
(A071... 153
Revised 07/15/2014
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