HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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•
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort. Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 4621578
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial Residential
Address: 16 LAKE VISTA TRL 106, PSL , FL 33953
Property Tax ID #: 3422-500-0216-000-7 Lot No.
Site Plan Name: Block No.
Project Name: RICHARD & CATHY BEATTY
DETAILED DESCRIPTION OF WORK:
Replace ,Windows & Z DOOr
CONSTRUCTION INFORMATION:
Additionalworktobeperformed
under this.permit—check'allthat
apply:'
_Mechanical
_Gas Tank
_Gas Piping
Shutters
Electric
_Plumbing
_Sprinklers
_Generator
Total Sq. Ft of Construction: _
Cost of Construction: $ 14,751
Sq', Ft. of First
Utilities: _Sewer _Septic
l�Windows/Doors
Roof Pitch
Building Height: _
OWNER/LESSEE: CONTRACTOR:
NameRICHARD & CATHY BEATTY Name: DAN BECKNER
Address:16 LAKE VISTA TRL 106 Company; PARADISE EXTERIORS LLC
City: PSL State: FL Address:1918 CORPORATE DR
Zip Code 33953 Fax: City: BOYNTON BEACH Stat0L
Phone No,973-519-4007 Zip Code: 33426 Fax:
E-Mail: Phone No 561-732A300
Fill in fee simple Title Holder on next page j if different E-Mail vrM
from the Owner listed above) State or County License+ SCC131150472
If value
If value
of
construction Is$2500
or
more, a RECORDED Noticeoi Commencemenus regwrea.
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
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City:, State:
Zip:., Phone:
City: State:
Zip: phone.
FEE: SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: _Not'Applicable
Name:
Address:
Address:
City:
City:
Zip: ,Phone:
Zip: .Phone:
OWNERf CONTRACTOR AFFIDVIT: Application Is hereby made to obtain a permit to do the work and ihstallation'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 ermit holder to build the subject structure
which is in contyux with any applicable Home Owners Association rules, bylaws or anscovenants that 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 FloridaBuilding Codes and St. Lucie County Amendments.
The fallowing; building permit applications are exemptfrom undergoing afull 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 I FNInFR OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENTI°
for Owner
STATE OF FLORIDA a
COUNTY OF � I��(°
The fgigoi,strumcknowledg before me
this 1�11 d of __ ' , 20�� by
person m'akingstatement.
V. OR Produc
Personally Known
Type of Identification
Produced........
D.
Commission Na.
STATE OF FLOCIQ
COUNTY OF
The forgoing instrumen was acknowledged before me
t 1s_�day of—J--_�20X by
PIE r
Name of person making statement.
Personally Known ___ OR Produced identification --_
MY COMMISSION g��p5763
—EY,PIRES: APril ++��
Bonded Thru Notary Public Underwdlei
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