HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 263 NETTLES BLVD, ST LUCIE COUNTY , FL 34946
Property Tax Ip #: 4502-501-0449-000-0
Site Plan Na
Project Name: BRUCE & BARBARA DELLECHIAIE
DETAILED DESCRIPTION OF WORK:
7 Windows & 1 Door
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical
Electric
_Gas Tank
_Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 279264
_Gas Piping
_Sprinklers
_Shutte
rs
_Generator
Sq.First Floor:
Lot No.
Block No.
W i ndows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameBRUCE & BARBARA DELLECHIAIE
Name: DAN BECKNER
Address:263 NETTLES BLVD
Company: PARADISE EXTERIORS LLC
City: ST LUCIE COUNTY State: FL
Zip Code: 34946 Fax:
Phone N0.603-235-6415
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-Mailtara4i9eex
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 $7,50D
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:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby madeto obtain a permit to do the workand installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any, applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
Inconsideration 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, waI Is, 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 Y911111WILkNIDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Sig ature wner/ Lessee/Cbrrt or as Agent for Owner
Signature of Contractor/License Holder c
STATE OF FLORID � ���
COUNTY OF Ll�l�l12/1r
STATE OF FLORIDA
COUNTY OF cs000m —_
The fQrgoing instrument was acknowledg54 before me
this ll — day of _32t --_, 20by
The forgoing instrument was acknowledged before me
thisl}day of T*')g o 20 Dy
T Qt1cC DF irs(IJ ir-----
Name of person making st ment.
Name of person making statement. I
I_
Personally Known OR Produced Identification _--
Personally Known _OR Produced Identification ---
Type of Identification
Type of Identification
Produced-- —
Pro -- --
c
(Sign r Notary Publio- S ' (Signature of Notary Publi
"• IAMEF 1 HOWELL "vAy`• CAITLINREUL
Al N1 iSSIiiN6 GG916937 "A ... ':
Co mission No. (5d1� Commission No. MyQSlAU1}SSION#HH065595
---- EXPIRE' SePiember 26, 2023 --- "s x:'F EXpIRE3: November 19, 2029
rV�••�� ' Bonded Thm No
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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