HomeMy WebLinkAboutBuilding permit application i
AII;APPLICABLE`INFO MVV T BE;COMPLETEp,FOR,AP,P..LICATION TO BE ACCEPTED �p-7
Date . (Q Perrrut Number:; �OCJ� (�
RECEflIED
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Building Pe_ rmit APPlcation FEB 04 Z01
'-dr?dl Development Services
permitting,Department
8urldih4 arrd Coc(e Regulation l),ivjsrori gt,t_gq�e eN^r-v
2; Vrrginro Auenue,Fort Pierce FL 34982
Phone ;(772) 4G;2 1553 Fax ;(: 72j 462 1578 COmr 1, rdjl." Residential,
PERMIT TYPE:;
PROPOSED IIVIPROVEiVIENTLQCATION,",
Address.: 1711 WYOMING AVE,FORT PIERCE,FL 34982
Property Tax JD.,#:2421-601-0014-000-5 Lot'No:
Site Plan Name:. Block No.
Project:Nanie:MARSHALL WIDENER
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DETAILED DESCRIPTION C3F UVORK
Replace 10 Windows& 1 Door
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CONSTRUCTI'QNf INFORM�ATION; ,
Additional wo'rkto be perfornied ur derthis pe"rmit--.check:'alLthat'apply:.
Mechanical Gas Tank: G8-Piping shutter"s Windowsiboors,
_.Electric _Plumbing _Sprinklers Generator' _Roof Pitch
Total-Sq. Ft of Coristr.uctiom Sq.,Ft-.,of First-.Floor:
'Cost'of:Construction:.$.19,218 utilities: =Sewer _,Septic Building Height:
aWNERjLESSEE `` a}„ CONTRACTOR $' °°
NameMARSHALL WIDENER .Name:DAN BECKNER
Address:1711 WYOMING AVECom..panyc.PARADISE EXTERIORS LLC
City: FORT PIERCE ,-State,:.FL Address 1918 CORPORATE DR
Zip Code 34982 .Fax: City,BOYNTON BEACH StateFL
Phone`.No. 772-999-0445 Zip:-Code: 33426 Fax:
E-Mail: Phone";No 561-732-0300
Fill.in fee simple TItIe,Holder.;on next`page(: f;different E Mailparadiseexteriorsllc@gmail.com
--from the:Owner listed above). State or County License;SCC131150472
If walue.of cohstruction Is$250D;oamore aRECORDED Notice:of Commencemerit'Isrequired.
If vWue,of'HVAC is$7;500 or more;a:RECORDED Notke.of'ComrriLik hent 6 required.
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DESIGNER/ENGINEER: Not Applicable MORTGAGE'ICOMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not_Applicable BONDING COMPANY: NotApplicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permitto 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 appllcations 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU mrrEND TO OBTAIN FINANICING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
tgnature of Owner/Lessee/Contractor as Agent for Owner S gnature of Contractor/License Hol er
STATE OF FLORIDA STATE OF FLORIDA
PS
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The fo oing instrument was acknowledged before me .
this—1,4-day of 7 .2020 by this T day of .Z 20 ZO by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known L----OR Produced Identification
Type of Identification Type of identification
Produced Produced
(Signature of Notary Publi Florid�Pj8Et2LY MARIk A ignature of Notary Public-State of Florida)
�; MY cOMMIssION#GG 205763
Commission No. =mA- RES:April 10,2022 , ;F;.,
saF Y."•� BondedTt,f NotaryPublioUnderwrit mmission No. ;:o (S@Q��gERLYMARIE,CASA
W COMMIUON#GG 20
goadedru No
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE u
RECEIVED
DATE
COMPLETED
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