HomeMy WebLinkAbouthayes permit appAll APPLICABLE INFO MUST BE COMPLETED FORAPPLICATION TO BE ACCEPTED
Date: Permit Number:
COt']NTV
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort. Pierce €L.34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Building Permit Application
Commercial Residential
Address: 20 LAKE VISTA TRL 102, PSL, FL 34952
Property Tax ID it: 3422-500-0268-000-6 Lot No.
Site Plan Name: Block No.
Project Name: JAMES HAYES
DETAILED DESCRIPTION OF WORK:
5 Windows
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 7,00
Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJAMES HAYES
Name: DAN BECKNER
Address:20 LAKE VISTA TRL 102
Company: PARADISE EXTERIORS LLC
City: PSL State: FL
Zip Code: 34952 Fax:
Phone No. 508-769-7169
Address: 1918 CORPORATE DR
City: BOYNTON BEACH $tate:FL
Zip Code: 33426 Fax:
Phone No 561-732-0300
E -Mail:
Fill In fee simple Title Holder on next page ( If different
from the Owner listed above)
E-Maiiparadiseexteriorsllc@gmail.com
State or County License SCC131150472
If value of construction Is $2500 or more,. aRECORDED Notice of commencement Is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _Not Applicable
Name:
BONDING COMPANY: Not'Applicable
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 issuanceofa permit.
St. Lucie Count makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in co Count makes
any applicable Home Owners Association rules, bylaws or anscovenants 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 exemptfrom 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 THEAOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Nev. ZI//1S
Sig r of 16 n er/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License.Holder
E OF ORIDA
STATE OF FLORIDA
C NI Y F �I �L (T� I L
COUNTY OF__—_—
The for in instrument w s acknowledged before me
this �j day of _ 20 by
The forgoing instrum t was acknowledged before me
daypof— ---_, 20Zg by
%--,
�is�l�.,
Name of person making statenient.
Name of person making sta ement,
V—OR
Personally Known Produced Identification _--
Personally Known __—OR Produced Identification
Type of Identification
__—
Type of identification
Produced—_--------
Produced
(Signature of Not P i S f F�f CY, HOPw'EL(.
(Signature of Notary Public-
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YIYCOM1fNt33Kh'Y#GG91G93P
Commission N .--- ""',r'r EXPi(6fi3afi}spiem6er 26, 2023
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Commission No.ISSO�IECASA
N #GG 205
SIRES: 2029
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE MAN
COUNTER
REVIEW
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REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Nev. ZI//1S