HomeMy WebLinkAboutpermit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Suilding 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: 2100 ESPLANADE AVE W, FORT PIERCE , FL 34982
Property Tax ID #: 2421407-0025-000-3 Lot No.
Site Plan Name: Block No.
Project Name: RAYMOND DUARTE & JADE KREST
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical
CONSTRUCTION INFORMATION: -
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _n_ Windows/Doors _ Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 19,500
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameR_AYMOND DUARTE & JADE KREST
Name:DAN BECKNER
Address:2100 ESPLANADE AVE W
Company: PARADISE EXTERIORS LLC
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No.772-3614551
Address:1918 CORPORATE DR
City: BOYNTON BEACH State FL
Zip Code: 33426 Fax:
Phone No 561-7324300
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mailpermits.paradiseext@gmaii.com
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 $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW
INFORMATION:
DESIGNER/ENGINEER: _Not Applicable
Name:
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
City: State:
Zip: Phone
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: _Not Applicable
Name:
BONDING COMPANY:
Name:
Not Applicable
Address:
Address:
City
City:
Zip: Phone:
Zip: Phone:
QWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count yy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict 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 usesto another
non-residential use
WARNING TO OWNER: Yourfailure to Record a Notice of Commencement may result in paying twicefor
improvements to your property, A Notice of Commencement must be recorded in the public records of St,
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornev before commencing work or recording your Notice of Commencement.
Sigrfdure of owner/ Lessee/Co6f ac o_r as Agent for owner
STATE OF FLORIDA� Ll�,Ct E COUNTY OFF,
Sworn to (or affirmed) and subscribed before me of
Physical Prese ce or _Online Notarization
this 4 day of _ 2021 by
Name of person making statement.
Personally Known— ✓—OR Produced Identifcatlon�—
Type of Identification
Commission No. .1� lly,>�mmissn
rxeiegss s�t.,,,n�,ze.nu:
Sig ature Contractor se Holder
STATE OF FLORIDA
COUNTYOF____—T_�J— —_--_—
Sworn o-(or affirmed) and subscribed before me of
__Physical Presen a or___ Online Notarization
this Z`_l day of — 2021 by
IZA
Name
of person making statement.
Personally Known —=_ OR Produced Identification
Type of Identification
Produ
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gnature of Notary Pull
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