HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date : Permit Number:
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G M E D 9 - Building Permit Application /
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: ( 772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR :
PROPOSED IMPROVEMENT LOCATION :
Address: 1101 KINGSWOOD LN, FORT PIERCE , FL 34982 _
Property Tax IDff: 3404-807-0009-000-9 Lot No .
Site Plan Name : Block No .
Project Name : ALANA BARTOE
f DETAILED DESCRIPTION OF WORK :
Replace 17 Windows & 2 Doors
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION :
Additional work to be performed under this permit — check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq . Ft of Construction : Sq . Ft . of First Floor:
Cost of Construction : $ 40,000 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE : CONTRACTOR :
N a meALANA BARTOE N a me : DAN BECKNER
Address: 1101 KINGSWOOD LN Company: PARADISE EXTERIORS LLC
City: FORT PIERCE State: FL Address: 1918 CORPORATE DR
Zip Code : 34982 Fax: City: BOYNTON BEACH State :FL
Phone No. 772-5284072 Zip Code : 33426 Fax: T
E- Mail: Phone No 561432-0300 _
Fill in fee simple Title Holder on next page ( if different E-Mailpermits.paradiseext@gmail.com
from the Owner listed above) State or County License SCC131150472
If value of construction Is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,S00 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 made to obtain a permit to do the work and installation as indicated .
I certifythat no work or installation has commenced prior to the Issuance of a permit.
St. Lucie Countymakes no representation that is granting apermit 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.
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 O OWNER: Your failure to Record a Notice of Commencement may result In paying twice for
impro ents to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie o my and posted on the jobsite before the first inspection . If you intend to obtain financing, consult
ith I n er or aAttorney before commencing work or recording our Notice of Commencement.
L / ) 9 . . . .414
Signature o wrier/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE F FLORIDA /�,� STATE OF FLORIDA �
COUN OF COUNTYOF__
SwyFn to (or affirmed) and subscribed before me of Swor o (or affirmed) and subscribed before me of
✓_ Physical Prese a or ... Online Notarization P�sical Presence or ... Online Notarization
thislZ day of G� � 202J by this ZS day of Z. _, 20211 by
��I.� ►LI � �► rr� � �\ i� ec lCr�
Name of person making statement. Name of person making stat nt,
Personally Known OR Produced Identification Personally Known OR Produce ( i
Type of Identification Type of Identification ?';qtp�; ,,.
Produced Produced___________
(Signature of Notar - St twoffko* ar�^^ e L (Signature Notary
Si nature of Nota Public- State of Florida ) � N
r /"�" . .Ir1MEll D . HOWELL � • c� m
Commission No. ( 1 (6eaI�tMISSiuNnccel6ysi > Commission No. ______ (Seal)
W,o,� FRI'IRES: Septeniber26, 202i p CC O
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MA OV
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REV
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