HomeMy WebLinkAboutBuilding Permit Application ,1
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
RECEIVED
Date: l 1 V t4.�C J I,
�'-3�1� Permit Number:
APR 0 3 2010
Permitting pepartmen'
h� » x st.Lucie Esurt,• RECEtvE[%
Building Permit Application APR n
Planning and Development Services
Permitting Depa,"'
Building and Code Regulation Division st, L cq'(-
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE:
WINDOWS
PROPOSED°'IMPROVEMENTLOCATION:
Address: 5604 DEER RUN DR,FORT PIERCE,FL 34951
Property Tax ID#: 1313-502-0058-000-6 Lot No481
Site Plan Name: Block No.
Project Name: DAVID RATH&KRISTEL HOLTZ
`DETAILED DESCRIPTION sOF WORK
Replace 24 Windows
,CON STRU CTIO N'IN FORMATION
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank Gas Piping Shutters X Windows/Doors
_Electric _Plumbing _Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$30,000 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameDAVID RATH&KRISTEL HOLTZ Name:DAN BECKNER
Address:5604 DEER RUN DR Company:PARADISE EXTERIORS LLC
City: FORT PIERCE State:FL Address:1918 CORPORATE DR
Zip Code: 34951 Fax: City:BOYNTON BEACH State:FL
Phone No.772-359-2089 Zip Code: 33426 Fax:
E-Mail: Phone No 561-732-0300
Fill in fee simple Title Holder on next page(if different E-Mailparadiseexteriorsllc@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.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
i
• 0
SUPPLEMENTALCONSTRUCTION,rLIEN 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:
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 OW . ' I I • -AILU'E TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR PROVEMENTS TO 3 UR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON ' .E JO: SITE BEFOR: THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
W` • YOUR ' ;' O' AN ATTOR EY BEFORE RECORDING YOUR NOTICE OF C?.MMENCEMENT A
�� R /
.ig '.tu==?wne •moi.,,,, .__,.'rcto . Agent for Owner Signature + omit-actor/Li -- e Hol.-
STATE OF FLORIDA 11 ,1', ,-STATE OF FLO DA p��
COUNTY OF .I, I�C I b COUNTY OF �(O,1 _r e'ceXr \ --
The forgoing instrument was cknowledged before me The forgoing instrument was cknowledged before me
this2.(o d�ayof_a Jf —,2019 by this 1day of Rp3±\ ,2019 by
Y4V 1 b 0 PST ii
DAN BECKNER ___ -- —_
Name of person making statement. Name of person making statement.
Personally Known v OR Produced Identification___ Personally Known v/ OR Produced Identificati.• `..N
Type of Identification Type of Identification � � 67
Produced Produced �' Q�
---- --- -- ��S GC'9IP
TTTTTT..iT.��• •�J9a,i�� �F� `Oye� --
{Signature of No ublic-Stat: a. :. signature of Notary Pu: ic: ;:f'eeif or la 1,oS'
�` �* JAMES HOWELL =° ,•-. `-
Commission No. , bI�I oMtiussloN#FF2466'2 `• ..A.::--
Commission mission No.� '°f„cams es (Seal)
�„ . EXPIRES:September 22,201) ,,,,....s44)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE •
RECEIVED '
DATE
COMPLETED
�ev.2/7/19 .