HomeMy WebLinkAboutBuilding Permit ApplicationLLL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/1/2019 Permit Number: JOKO, 0 1—
Building Permit Application
ing and Development Services
ng and Code Regulation Division
Virginia Avenue, Fort Pierce FL 34982
e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Window/door I
Address: 3821 Delaware Ave
Legal Description:
Property Tax ID #: 2408-331-0002-000-9
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
UHVAC
U Gas Tank
uGas
Piping
U
Shutters
❑
Electric
❑
Plumbing
Sprinklers
Generator
Total Sq. Ft of Construction:
Cost of Construction: $ C�?- ;?
S�Ftj of First Floor: _
Utilities: t _ISewer Septic
Lot No.
Block No.
�✓ Windows/Doors
Roof Roof pitch
Building Height:
41 W uY N �� "'x' '� +. x1'�rfYA { <,�.K�.a
O�tiIN,ER/LESSEE
CONTRACTOR`
Name Heather Hallford
Name: Daniel Beckner
Address. 3821 Delaware Ave
Company: Paradise Exteriors, LLC
Address: 1918 Corporate Drive
City. Ft. Pierce State: FIL
Zip Code: 34947 Fax:
City: Boynton Beach State: FL
Phone No. 772 ' 5-2 1S1o.�
Zip Code: 33426 Fax:
Phone No. (561) 732-0300
E-Mail:
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.
YSUPPL`EIVIENTALkCCINSTR r CTION,
LIEN
L41NF INFORMATION
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name:
Address:
Address:
City..
State:
City:
State:
Lip: Phone
Zip: Phone:
FEE SIMPLE'TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
Name:
Address: 1918 corporate Drive
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 recordine vour Notice of Commencement.
I ao�
fw ���w
Signature of Owner/ Lessee/Contr for as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF At -COUNTY
OF
The forgoing instrument was acknowledged before me
The for oing instrument was acknowledged before me
�
this day of ,Q�.v , 20A by
this �l day of 10 , 20 4 by
-
��% e- I �)tc �v
Name of person making statem t
Name of person making statement
Personally Known OR Produce Identification ✓
Personally Known '✓OR Produced Identification
Type of Identification
Type of Identification
Produced LID
Produced
".... CYNTHIA—L J DAY
Sia ur of Nota P. �l - �ftMRfi'd°a° Iic - state of Florida
( g ry
(Signature of NotaryPublic- State of Florida
,
Qc Commission # FF 976346
Commission No. M C x ires Jul 9, 2020
%y �I f p
� 0 -7�3►::�;{'Se �)KIMBERLYMARIE
Commission No. C-7"Cl j COMMISSl0N#C
W EXPIRES: A;d 10, 20
•
'
..... Bonier 1Ar{I Aft urg
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17