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Home My WebLink Aboutpermit application & NOC ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 / � o 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: Window/door s t s o; w 9 n°y."ir f PR£ ROSEDINf�RQ1/EMEN.T LOCATi ' ' �� .. -. --" -r,F. _.. a... ..,.,,.rte«� >a �. .'. -abki Address: 10656 PINE CONE LANE, FORT PIERCE FL 34945 Legal Description: PINE HOLLOW-UNIT ONE-LOT'15 (1.08 AC)( OR 3792-2143) Property Tax ID#: 2321-801-0015-000-9 Lot No.15 Site Plan Name: Block No. Project Name: JASON WILLIAMSON Setbacks Front Back: Right Side: Left Side: ei`&,k`t�` a�xi.:-,r }a 'k-n,�s'x,Y.,�$��-,n�a�r 2`�;il � �r�•,r:�kr �.X' :. v .,?a�R&'� <� .: V 4�', ''r� ^+ .:c�" �F� k5.��5'}y c. *, t,L fuf '.Xz,�`�¢ .. r.vrv>et w�'a�nws a�� 3 r�,pacr d. f f 5 �' ,{ ,e fF ws: rpt �', ✓;u t:: � .t n yar :7:ti i �'>✓`< _ ...� /rr/ 4 s.,�Jr Ye -,S £i'b _ '+ �' g �"" Additional work toe performed un ert ispermit-checka appy: ❑HVAC E]Gas Tank ❑Gas Piping _Shutters Q Windows/Doors ❑Electric ElPlumbing Sprinklers ❑Generator ❑Roof Total Sq. Ft of Construction: 2092 S . Ft.of First Floor: Cost of Construction:$ 22095.00 Utilities:nSewer❑Septic Building Height: ta° s'ayx'x a'Ya C�1tER/L �SfY VOI�TR/, TfR k4 b t Name JASON WILLIAMSON Name: SCOTT BERMAN Address:10656 PINE CONE LANE Company: FLORIDA WINDOW AND DOOR City: FT PIERCE State:FL Address: 7108 FAIRWAY DRIVE#120 Zip Code: 34945 Fax: City: PALM BEACH GARDENS State:FL Phone No.772-216-6475 Zip Code: 33418 Fax: 561-624-8037 E-Mail: Phone No. 561-340-4300 __ I Fill in fee simple Title Holder on next page(if different E-Mail: HOWARD@FORIDA.UVINDOWANDDOOR.COM from the Owner listed above) State or County License: CGC1509450 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 3, "'s 3.1-v7i' 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 thepermit 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 inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. C L'a�0'%� s _Sig ture of Owner/Lessee/Agent - Signature of Contractor/License Holder ST E OF FLORIDA STATE OF FLORIDA Cq NTY OF S-f• L ,c COUNTY OF PALM BEACH The forgoing instrument was acknowledged before me The forgoing instrr ment was acknowledged before me this 2 day of 20 I Eby this L day of// �a��/ ,20 by JASON WILLIAMSON SCOTT BERMAN (Name of person acknowledging) (Name of person acknowledging) Of of Notary Public-State of Florida) Signature of Notary Pub Ic-State o r' a Personally KnownOR Produced Identification Personally Known X OR Produced Identification Type of IdentificatAn —roduced Type of Identification Pro .��6�. HOWARDSIMKOFF MY COMMISSION A GG 013316 Commission m,`k pOao°: SARAH C VAKER Commission No015 a`b v FxplR �t27,2020 MY COMMISSION*FF186759 9 OF4 d BonmTiruBudget NstnSawims 'c`' Revised 0 FloridallotaryService.com REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE,:, MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 4246291 OR BOOK 3930 PAGE 616 , Recorded 11/07/2016 09: 52:21 AM STATE OF FLORIDA ST.LUCIE COUNTY THIS IS TO CERTIFY THAT THIS IS A AFTER RECORDING-REIVRN TO: I`-- TRUE AND CORRECT COPY OF THE ORIGIN H E.SMIT ERK PERMIT NUMBER: Deputy....t)tit 6 NOTICE OF COMMEN&1RoE 'T � 'Me undersigned hereby given notice that improvement will he made to certain real property,and in accordance with Chapter 713, Florida statutes the following information is provided in the Notice of commencement. 1.DESCRIPTION OF PROPERTY(Legal description and street address)TAR FOLIO NUMBER: 2321-801-0015-000-9 SUBDIVISION PINE HOLLOWBLOCK TRACT I.OT.15 BLDG UNI ONE 10656 PINE CONE LANE,FORT PIERCE 34945 2.GENERAL DESCRIPTION OF IMPROVEMENT• INSTALLATION OF IMPACT WINDOWS AND/OR DOORS 3.OWNER INFORMATION: a.Name JASON WILLIAMSON b.Address 10656 PINE CONE LANE,FT PIERCE FL 34945 c.interest in property OWNER d.Name and address of fee simple titleholder(if other than owner)_ 4.CONTRACTOR'S NAME,ADDPJ:SS AND PEIONE NUNIHF.R: F` "AYANDOWANDDOOR710n FAIRWAY OR 0120 PALM BEACH GARDENS FL 33616!61.3+0-4300 I 5.SURETY'S NAME,ADDRESS AND PHONE NUMBER AND BOND AMOUNT: 6.LENDER'S NAME,ADDRESS AND PHONE NUMBER: 7.Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7.,Florida Statutes: NAME,ADDRESS AND PHONE NUMBER: _ 8.In addition to himself or herself,Owner designates the following to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes: NAME,ADDRESS AND PHONE NUMBER: 9.Expiration date of notice of commencement(the expiration date is I year from the date of recording unless a different date is specified) _20 20 _WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTT:R'rfiE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMFNTS UNDER CHAPTER 717 PART 1 SECTION 713-13-FLORIDA STATUTES AND CAN RFSLILT IN YOUR PAYING TWiCE_FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON E JOB SUEBEFORE THE FIRST 1NSPFCTION, IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR ER R AN A F COMM_F.NJiJG WORK OR RECORDING YOUR NOTICE OF COMMFNCEMFNT • JASON WILLIAMSON/OWNER S ttrre of Owner or Print Name and Provide Signatory's Title/Office net's Authorized Officer/Director/Partner/Manager • i ! t State of Florida r. County of The foregoing instrument was acknowledged before me(his °�—_`day of' 20 1.1,. By C Smn VN1 �CGirL'A6 as (Name of person) (Type of authority.,.e.g.Owner,officer,trustee,attorney in fact) For�l�i� - (Name of party on behalf of whom instrument was executed) Personally Known Upe SARAH C BAKER •i, y`' MY COMMISSION#FF1B5759 EXPIRES December 28,2018 (Printed Name of Notary Public.) (Signature off Notary Public) I4Q74 3 FlarldaNataryService.com Under penalties of perjury,I declare that 1 have read the foregoing and that the facts in it are.true to the best of my knowledge and belief(section 92.525,Florida Statutes). Ignature()of Authorized Officer/Director/Partner/Manager who signed above: By: By. - "g) ' i