HomeMy WebLinkAboutpermit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
•
Planning and Development Services
Building and Code Regulation Division
2304 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Permit Nu
Building Permit Application
Commercial Residential
Address: 13549 S INDIAN RIVER DR, JENSEN BEACH, FL 34957
Property Tax ID #: 4509-801-0007-010-5
SitePlanName:
Project Name: BRUCE & THERESA KNIGHT
DETAILED DESCRIPTION OF WORK:
39 Windows & 5 Doors
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
Mechanical _Gas'Tank _.Gas Piping _shutters
Electric _Plumbing _Sprinklers _,Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 59,000
Sq. Ft. of First
Utilities: _Sewer _Septic
Lot No.
Block No.
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameBRUCE & THERESA KNIGHT
Name: DAN BECKNER
Address:13549 S INDIAN RIVER DR
Company: PARADISE EXTERIORS LLC
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax:
Phone No.305-978-8817
Address: 1918 CORPORATE DR
City: BOYNTON BEACH State: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-MailParadiseexteriorsllc@gmail.com
State or County License SCC131150472
If value of construction Is $2500 or more, a RECORDED NOUCe OT commencement is requireu.
If value of HVAC Is $7,500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_Not Applicable
MORTGAGE COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER;
Name;
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
Y:
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 LucleCo,0,h%makes no representation that is granting a permit wi I I authorize the erm it holder to build the subject structure
strtucture. Pleassecc nsuIt any
your Hlome Owners Owners Association
on andrreviewyour deed for any restrldo s whichirict may applyhibn such
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
.r nDwr nemDe PirrnrentNe YntIR NOTICE OF COMMENCEMENT."
Signature
G
Signature ofContractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA^n ^----
COUNTY OF ec U COUNTY
The rBoinginstru j�tacknowled before me
thisrLdayof_ t�/ri" r __,Zo by
Name of person making statement.
Personally Known _/_ OR Produced Identification
Type of Identification
Produced__________
103
Commission No.
before me
day of
> 0-1-- i
Personally Known ^�ZL OR Produced Identification
Type of Identification
r Notary PU tt I
, KIM :RLYMARIECASA
-- My EJCPI>IM # GG 205783
No, -. ri110,2022
%.eorg�,: Bonded Thm NotaN ���hlic Unde__�wrlle
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