HomeMy WebLinkAboutBuilding Permit Application ALL APPLICA LE INf0 MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: IC
Permit Number: y � �
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: Window/door
00
PROPOSED IMPRO\/EM'ENT LOCATIQ'N
Address: 4104 Smokey Pines CT Fort Pierce, FL 34951
Legal Description: Holiday Pines S/D-Phase III
Property Tax ID#: 1313-502-0100-000-6 Lot No.523
Site Plan Name: Block No.
Project Name: Lee & Darlene Hickey
Setbacks Front Back: Right Side: Left Side:
D;ETAILE® DESCRIPTI01`OF 1NQR1� �
a �a ,
Replace 19 Windows and 1 Door
C'.ONS}RUCTION INFORMATIOIVy' 3 _. k. �.
Additional work toa er orme under this permit—check a appy:
HVAC E]Gas Tank ❑Gas Piping _Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator L Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 62L DOD Utilities:Sewer Septic Building Height:
OUVNER'/LESS"EhE = x CONTRACTOR z
� �.
Name Lee&Darlene Hickey Name: Dan Beckner
Address:4104 Smokey Pines Ct Company: Paradise Exteriors, LLC
City: Fort Pierce State:FL Address: 1918 Corporate Drive
Zip Code: 34951 Fax: City: Boynton Beach State:FL
Phone No.772-252-4877 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$2500 or more,a RECORDED Notice of Commencement is required.
S�tJ�PPL'EMENuTAI CONST``„RUCTION�LIEN``LAUU INFORMATIpN`T .uf �� "��: � � `��� �, ., & � ��;
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 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 inspectiorj, I ou intend to obtain financing, consult with lender or an attorney before
commencing Work or ree/bNg your Notice of Commencement.
A A
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Sign —a of Owner/Lesst6/Co tractor as Agent for Owner re of Contract ense Holder
STATE OF FLORIDA STATE OF FLOWA
COUNTY OF 951 LU-C[C COUNTY OF &�M lkach
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this27 dayof i 20 L, _by this_X__day of 20 )(0 by
Qym e), 7Y:ie6k\c��
(Name of person acknowledging) Name of person acknowledging)
JAMES HOWELL
MY COMMISSION#FF2466 2
( Ignature of Notary Public-State ”' ignature of Notary Public-State of Florida)
Personally Known '✓ OR Produced Identification Personally Known V/ OR Produced Identification
Type of Identification Produced Type of Identification1771
4rV ,
Commission No. (Seal)
Commission No. �� MY�COM 'pN#GG008367
•?�f EXPIRES June 27,2020
3 Flo ridallotalyServlce.com
Revised 07/15/2014
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