HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Pii
- 31
Building Permit Application
Planning and Development Services
Building and Code Regulation Division \ ,
23OU Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax : (772) 462-1578 Commercial Residential
PERMIT TYPE :
PROPOSED IMPROVEMENT LOCATION :
Address: 20 VERA CRUZ, FORT PIERCE , FL 34951
Property Tax ID #: 1301-500-1120-000-6 Lot No,
Site Plan Name : Block No.
Project Name: DEBRA RICHWIEN (JOHN GOULD)
DETAILED DESCRIPTION OF WORK :
Replace 7 Windows & 1 Door
CONSTRUCTION INFORMATION :
Additional work to be performed under this permit — check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq . Ft of Construction : Sq . Ft. of First Floor:
Cost of Construction : $ 159700 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE : CONTRACTOR:
NameDEBRA RICHWIEN (JOHN GOULD) Name: DAN BECKNER
Address:20 VERA CRUZ Company: PARADISE EXTERIORS LLC
City: FORT PIERCE State : FL Address: 1918 CORPORATE DR
Zip Code: 34951 Fax: City: BOYNTON BEACH State:FL
Phone No . 802-274-9584 Zip Code : 33426 Fax:
E-Mail: Phone NO 561-732-0300
Fill In fee simple Title Holder on next page ( if different E-Mailparadiseexteriorsllc@gmaiLcom
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION :
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:
Ad d ress: 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 cerrifythat 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 holder to build the subject structure
which is in cont�icr with any applicable Home Owners Association rules, bylaws or and covenantsthat 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Le see/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORID
COUNTY OFF lil IE COUNTY OF..
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Thf r oing instru acknowledg efore me The for oing instrument was acknowledged before me
thle at. day of _� _ 20 y this 5dayof -1Q--_/�, 20aMby
jACil _ Cd11��-----
Name of persofi making ;(atement. Name of person making sta ent.
Personally Known _ /—/_ OR Produced Identification _—_ Personally Known _—_ OR Produced Identification —_—
Type of Identification Type of Identification
Produced---__ — Produced _--_--__
(Signature of otary Public- State n re of Notary
a-; KIMBF.RLY MARIE CASA
JAMES D. OWN L r.. ..
Commission No. 91p COMMISSION a GG91 mission No. _— - MY COM fn^d N . 205763
EXPIRES: September 26, .� . .4 EXPI ES: April 10, 2022
Bended Thre No;rr; pnhlic Unit •i. r "
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
D TE
RECEIVED
DATE
COMPLETED
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