HomeMy WebLinkAboutBuilding permit application r�
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All APPLICABLE INFO MUST.BE COMPLETED FOR APPLICATION TO:BE ACCEPTED q
Date: 3l_ Permit Number:
=RECBuilding Permit Ap.plicat
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
PERM IT TYPEi
PRQPOSED IIV(PROV.EMENT LOCATION:
Address: 22 LAKE VISTA TRL 205,PSL,FL 34952
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Property Tax ID#:3422-50010306-000-5 Lot-No.
Site Plan Name: Block No'..
Project Name: DENISE TOSTO-,GALAT,SUZETTE DICARLO
17ETAI:LED DESCRIP�ITI,ON ol"WORK:"
Replace 5 Windows
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CONSTRUCTION INFOR(VIA-T,0
Additional work to be performed under-this:.permit—checkall.thatapply:
_Mechanical _Gas Tank. _Gas Piping _Shutters _Windows/Doors
Electric _Pl,umbing _Sprinklers _Generator _Roo'f Pitch
Total Sq. Ft of Construction: Sq. Ft.of'First Floor:
Cost of Construction:$7,130 Utilities: --Sewer _Septic Building Height:
CICNNER/LESSEE: , CONTRACTQR:
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NameDENISE TOSTO-GALAT,SUZETTE DICARLO Name:DAN BECKNER
Address:22 LAKE VISTA TRL 205 Company:PARADISE EXTERIORS LLC
City: PSL State:FL Address:1918 CORPORATE DR
Zip Code: 34952 Fax: City:BOYNTON BEACH State:FL
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Phone No.347-610-2415 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.
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SUPPLEMENTAL CONSTR;UCfION11EN LAW INFORMATION.,'
DESIGNER/ENGINEER: Not-Applicable MORTGAGE COMPANY: Not;App;licable"I
Name: Name:
Address: Address:
City: State: City: State::
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not App.licabie BONDING COMPANY: _Not:'Applicable
Name: Name:
Add cess: Add cess:
City: City
Zip: Phone: Zip: Phone:
OWNER/ CONTRACT'OR.AFFIDVIT: Application is hereby made.to obtain'a:permirto do the work and installation as indicated.
I certify,that no work:or installation has commenced priorto`the issuance.of a permit.
St Lucie County makes no representation that.is gra nting.a permit wi'll.authorize,the•permitholder 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.
Inconsideration 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 exemptfrom undergoing a full'concurrency review: room.additions,
accessory structures,swimming pools,fences;waIIs,,signs,screen rooms.andaccessoryuses:to.anothernon-residential use.
"'WARNING TO OWNER:-YO UW FAILURE TO RECORD.A NOTICE OF COMMENCEMENT MAY RESULT IN'YOUR PAYINC
TWICE FOR IMPROVEMENTS TO -YOUR PROPERTY. A,NOTICE SOF.COM.MENCEMENT MUST BE RECORDEDr�.AND
POSTED ON THE.JOB, SITE BEFORE THE; FIRST'INSPECTION. IF iYOU INTEND TO.OBTAIN FINANCINC,.'CONS.ULT
WITH YOUR LENDER-OR AN ATTORNEY BEFORERECORDING YOUR N.OTICE OF COMMENCEMENT. "
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Signatur Owner/Lessee/Cont ctoras,Agent.fo"roWner Sighature,=of Contractor/License:Holder
STATE OF FLORIDALao
STATE OF FLORIDCOUNTY OF GLI I r COUNTY,OF— A'm
The for oing instrument was acknowledged before me The forgoing'instrument was acknowledged before me
this day of_�3 —,20�by this—A day of-7– ---_,20 24 by
Name of person making-statement. Name of person making statement.
Personally Known ✓ —OR Produced Identification_-- Personally Known_ ✓OR Produced Identification---
Type of Identification Type:of Identification
Produced--- Produced ----
Si nature of Notary Public=State of Florida"' Si nature of Nota P lid--i
g Y; g. Notary ; LY MARIE CASA
MY CO IS$ON#GG 205763
Commission No. '" AMP D.HOWELL ommissibn-No:,,-- � <s 1{{�
YCOMMISSION0GG91693 ;,FaFF ,; EX �.AMI10,2022
EXPIRES:September 26,202 Bonded Thru Notary Public Underwriters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW'
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