HomeMy WebLinkAboutBUILDING PERMITAll APPLICABLE • MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Building
DevelopmentPlanning and
Building and Code Regulation Division
ll Virginia Avenue, Fort Pierce FL 34982
Commercial!
PERMIT TYPE:
PROPOSED
IMPROVEMENTL&ATION
Address: 5018 HICKORY DI2, FORT PIERCE , FL 34982
Property Tax I D #: 3402-608-0212-000-8
Site Plan Name:
Project Name: JOSEPH REILLY
9 Windows & 1 Door
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank
_Electric _Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 14,355
NameJOSEPH REILLY
_Gas Piping
_Sprinklers
_Shutters
_Generator
Sq.
First Floor:
Lot No.
Block No.
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
Address:5018 HICKORY DR
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No.772-801-4013
Fill
in fee simple Title Holder on next page I if different
from the Owner listed above)
DAN BECKNER
Company: PARADISE EXTERIORS LLC
Address:1918 CORPORATE DR
City: BOYNTON BEACH State:FL
Zip Code: 33426 Fax:
Phone No 561432-0300
E-M a ilParadiseexteriorsllc@gmail.com
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,SD0
or more,
a RECORDED Notice of Commencement is required.
SUPPL�MEIUTALCONST�il7CTl�?N LIEN LAUNlI[JEOfMATION
OWNER/CONTRA OR
_
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:
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 Count makes no representation that is granting a permit will authorize the permit holderto build the subject structure
which is in convict with any, applicable Home Owners Association rules bylaws oranscovenantsthat -may restriictor 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 permft, 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
POST ON THE JOB SITE BEFORE THE FIRST INSPECTION, IF YOU INTEND TO OBTAIN FINANONG, CONSULT
WITH OUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
of Owrt�r/'Nssee%Cgritractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledge,[] before me
this � day of _s�1---, 20—�by
y oSEP�I {�E! LL�
Name of person makingstatement.
Personally Known — OR Produced Identification _--
Type of Identification
Produced
'(Sidnature of Notary Pu
Commission No. —
REVIEWS FRONT
COUNTER
DATE
RECEIVED
Holder
STATE OF FLORIDA �j�C.
The foy oing instrument was acknowledged before me
this��
Name of person making statement.
Personally Known �OR Produced Identification --_
Type of Identification
fgnature
of Notary Publi
it
KIh9BERLY MARIE CASA
; rR•'A9p:�•;
,; MY<�SICN#GG 2057G3
Commission
No._—
Mf
PIRES: April 10, 2022
,`
Bonded Thru Notary Public Underwdters
ZONING
SUPERVISOR
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