HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: "(772) 462-1578
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Building Permit Application
Commercial Residential
Address: 16 LAKE VISTA TRL 105, PSL , FL 33953
Property Tax ID #: 3422-500-0215-000-0 Lot No.
Site Plan Name: Block No.
Project Name: RICHARD & CATHY BEATTY
DETAILED DESCRIPTION OF WORK:
5 Windows & 1 Door
CONSTRUCTION INFORMATION:
Additional workto
Total Sq.
be performed under this
permit —check
all that applyr
Mechanical
_Gas Tank
_Gas Piping
Shutters
Electric
_Plumbing
Sprinklers
_Generator
Ft of Construction;
10,249
Cost of Construction:;)
Sq', bt, of First Floor:
Utilities: _Sewer ,_Septic
Windows/Doors
Roof Bitch
Building Height: _
OWNER/LESSEE:
CONTRACTOR:
NameRICHARD & CATHY BEATTY
Name: DAN BECKNER
Company: PARADISE EXTERIORS LLC
Address:16 LAKE VISTA TRL 105
City: PSL State: FL
Zip Code: 33953 Fax:
Phone No:973-519-4007
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 (f different
from the Owner listed above)
E-Mail
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
MORTGAGECOMPANY� Not Applicable
Name:
Name:
Address:
Address:
City: State;
Zip: Phone:
City: State:
Zip: Phone.
FEE SIMPLE TITLEHOLDER: Not Applicable
BONDING COMPANY: _NotApplicable
_
Name:
Name:
Address;
Address::
City:
city:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby madeto obtain a permitto do'the workand installation 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 permitholder to build the subject structure
which is in cont�ictwith any applicable Home Owners Association rules, bylaws or and covenantsthat may restrict orprohibit 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, l 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 exemptfrom 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 IMPROYEMERITS 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."
Signat re of Owner/ Lessee/Contracto s Agent for Owner ignature d Contractor/License: Holder
STATE OF FLORIDA STATE OF FLO!tC� /J '
COUNTY OF Loa o r COUNTY OFg�pyPAS ['Q•a r�1_ Ir
The f Q¢oing instruAnt as acknowledod before me The for rang instrument was acknowledged before me
this 1daYo 2oZo this_ day of--f�%---,',ZOg7DbY
Name of person maki g s atem nt. Name of person making s/ta ement.
Personally Known_ --OR Produced Identification__— Personally Known_ /ORProduced Identification
Type of Identification - Type of Identification
Produced--_--__ — Prod ed--.Y----
(Signature of Notary of Notary P�tate of Florida aof Florida,I (Si ature of NotaryPubl SpFlorf R�
MY COMMISSION It G 20222Y63 '
-- ���xep I�S All il10,
Commission No. --_ Jl9 MES D. HOW mission No,--- bona hk otaw Puhlir, Underadlx _
MY COMMISSION 00091 937
EXPIRES: September 26 023
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED.
ev.