HomeMy WebLinkAboutpermit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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PERMIT TYPE:
PROPOSEDIIUIPROVEMENTLOCATION:
Address: 14300 AGUILA AVE, FORT PIERCE , FL 34951
Property Tax ID 0: 1306-500-0317-000-2 lot No,
Site Plan Name: Block No.
Project Name: CHERYL HAYDEN
Additional work to
be performed under this
permit —check
allthatapply:
_Mechanical
_Gas Tank
_GasPipirig
_Shutters
_Electric
_Plumbing
_Sprinklers
_Generator
Total Sq. Ft of Construction: _
Cost of Construction: $ 15,000
Sq. Ff. of First Floor: _
Utilities: _Sewer _Septic
Windows/Doors
Roof Pitch
Building Height:
OWNERJLESSEE
CONTRACTOR: '
NameCHERYL HAYDEN
Name: DAN BECKNER
Address:14300 AGUILA AVE
Company: PARADISE EXTERIORS LLC
City: FORT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No.205-525-6019
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-MailAaradiseexteriorsllc n gmail.com
State or County License SCC131150472
If value
of
construction is
$2500 or
more, a RECORDED Notice of Commencement is requlrea.
If value
of
HVAC is $7,500
or more,
a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _NotApplicabie
Name:
MORTGAGE COMPANY: _Not Applicable
Name:
Addiess:
Addressr
City: State:.
Zip: Phone
City: State:
Zip:. .Phone:
FEE SIMPLE TITLEHCt4DER: NotAppllcable
Name:
SANDING COMPANY:. _NotApplicable
Name:
Addressr
Adtlress;
City:
:City:
Zip: Phone:
Zip: ,Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby madeta obtain a permitto do the work and Installationas lndiiated.
I iertify that no work or installation has -commenced prior to the issuance of a permk.
St: Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con�lict with any applicable'Home OwnersAssoaatlon rules, bylaws oFandPcovenants that may restrict orprohibrtsuch
structure,Please consult with your Home Owners Association and review your deed forany restrictions which mayapply.
In consideration ofthe granting of this requested permit, I do hereby agreethat 6will, in all respects, perfdrm the work
in accordance whh theapproved plans -the Florida Building Codes and St. Lucie County Amendments.
The fdllowing building permit applicationsare exemptfrom undergoing a full conturrency review: room additions,
accessory structures, swimming pools, fences; walls, signs, screen rooms and accessory uses to anothernon-residential use
"WARNING TO OWNERS YOUR FAILURE TO RECORD A NO710E 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 FlR57 INSPECTION. IF YOU INTEND TO OBTAIN FlNANONC,:CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOURNO7ICE OF COMMENCEMENT:'
. _..
���
ignature of Owner) essee/Contractor as gent for Owner
Signature of Contractor/Litense Holder
STATE OF FLORIDA /��—
STATE OF FLORIDA ®��
COUNTY OF I// I , L�Li G� � C
COUNTY OF__�__—______
Thef inginstr en s knowledge before me
��day �
The for oinginstrume was acknowledged before me
20 �' by
this of }��� _, z0 by
this day of __—__„
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��IcQY� �lAVD ��
_�_ _ _
Name ofperson makin statement.
Name of person makln_ g st� ent,
Personally Known �— ORProduied Identiftation _—_
Personally Known ___ OR Produced Identification _--
Type of Identification
Type of Identification
Produced__—__—__—_
Produ __ __
—
(Signature of Not ublic-St
e�,,,,,,�
-----
(Signature df Notary Publii-State offlorida �
B. HOWELL
Commission No. —__—
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2kPIk�$SMSap�eOmbeG26912023
Commission No. —
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,: MYCGMMISSIGNftGG205763
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REVIEWS
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SUPERVISOR
PLANS
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i 70, 2022
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COUNTER
REVIEW
REVIEW
REVIEW
.REVIEW
DATE
RECEIVED
DATE
COMPLETED.
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