HomeMy WebLinkAboutpermit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date;
Permit Number:
� (>o L�;(�COC R..
. o J
- " Building Permit Application
Plonnfng qnd Development serv.Ices '� //�
BulldingandCadeRegulationblviston Commercial Residential
2300 Virgfnla Avenue, Fart Pierce FL 34982
Phone:(772)452-1553 Fax:(772}462-1578
Address: 3701 Ave L. FORT PIERCE, FL, 34947
Property Tax IDfI: 2405.601-0590-000-6
Site Plan Name: Ronald &Shirley Hagwood
Project Name:
Lot No.
Block No.
J./arc �
Additignal work to be performed under this permit —check all that apply:
�Mechanicai _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
_Electric ,_Plumbing _Sprinklers ,_Generator Roof Pitch
Total Sq. Ft of Construction: 5q. Ft. of First Floor:
Cost of Construction; $ 17,625 Utiilties: _Sewer _Septic Building Height:
OWNER/LESSEE:
_... _.
CONTRACTOR:
Name Rgnald or Shirley Hagwood
Name; Daniel Beckner
Address:3701 Ave L
Company:Paradise Exteriors
City:FottPlerce State:_
Zip Code; 34947 Fax:
Phone No.772-683-3.618
Address:�918CorpdrateDr.
City: Boynton Beach State:F�
Zip Code:33426 Fax:866-721-5332
Phone No581-732-0300
E-Mall:h'agwoodshirley@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-MailPermits.paradiseext@gmail.com
State or County LicenseCCC1328522
If value of construction is ZSOq or more, a RECORDED Notice. of Commencement is required.
If value of HAVG Is $7,500 or more, a RECORDED Notice of Commencement is required.
I�ETi'ti --
City: State: _____
Zip: Phone
FEE SIMPLE TITLE WOLDER: .,_Not Applicable
Address;
City:
Zfp: Phone:
MORTGAGE COMPANY: ,._._ Not Applicable
Address:
City: Stater
Zip: Phone:
9ONDING COMPANY: ,_Not Applicable
Name:
Address:
City:
Zfp; Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work ana mscauanon as maicaceu.
I certify that no work or installation has Commenced. prior to the Issuance of a permit.
St. Lucie Countit makes no representation that.is granting a permit will authorize the permit holdei'to build the subject structure
which is in onflict with anvv pplicable Hame Owners Association rules, bylaws pr and covenants that may restrict or prohibit such
structure. Prlease consult wit your Home Owners Association and review your deed for any restrictions which may apply:
In consideration of the granting of th(s 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 cancurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-res(dential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
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
of Owner/ Lessee/Co actor as Agent for Owner Signature of Contractor/License Holder
OF FLORIDA STATE OF FLORIDA�g �
fY OF �i�� COUNTY OF
Sworn�to (or affirmed) and subscribed before ma of
t�Physical Prese ce or Online Notarization
day of�' r �.,,.� 202+ by
nv�n « —H' et. ��n
Name of person making slat nt.
Personally Known OR Produced ldentificatlon
Type of ldentificatlon _
;�wx>��,. CAITLIN REUL
CommissfonNo. SS jSepII�CCMMISSICNAHH
�';_P? EXPIRES: November P.
REVIEWS I COONTER I ROEVI W I SREVIEWOR
S rn to jar afflrmed).and subscribed before me of
Physical Pres'egce orT Online Notarization
t isq,�dayof MaVr .202Q by
Name of person making statement.
Personally Known �OR Produced ldentificatlon
Type of Identification
f Notary PuTific-State of Plorida j
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