HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: V l -0 /!�7!
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: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 3208 MARAVILLA BLVD
Legal Description:
Property Tax ID#: 242860102030008 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
11 WINDOWS j,_NP1467_
CONSTRUCTION INFORMATION:
Additional work toa er orme under this permit—check a appy:
HVAC E]Gas Tank Gas Piping _Shutters a Windows/Doors
❑Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 15,000 Utilities:n Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name ALINE LLOYD Name: DANIEL BECKNER
Address:3208 MARAVILLA BLVD Company: PARADISE EXTERIORS
City: FORT PIERCE State:FIL Address: 1918 CORPORATE DR
Zip Code: 34982 Fax: City: BOYNTON BEACH State: FL
Phone No. Zip Code: 33426 Fax: 8667215332
E-Mail: Phone No. 5617320300
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFf3RMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:ALINE LLOYD Name:DANIEL BECKNER
Address:3208 MARAVILLA BLVD Address: 3208 MARAVILLA BLVD
City: FORT PIERCE State: City: BOYNTON BEACH State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:1918 CORPORATE DR Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor asent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA . STATE OF FLORI
COUNTY OF ' +LUG!L - COUNTY OF N" 0ea
The forgoing instrument was acknowledged before me The forg{�ing instrume t was acknowledged l�fore me
this�day of J j l'�/ 20//t' by this Aday of 20C:by
Name of personmaking statement Name ofp making statement
Personally Known OR Produced Identification Personally Known �\ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Sig atu of Notary Public-Stat �) SHERRY A GALL )t re of Notary Public-State of Florida
�� L MY COMMISSION 3i F224543000
Commission No.{ al) EXPIRES May 14 2Ddfhmi ion No. � 3
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SE31EW
LE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17