HomeMy WebLinkAboutBuilding Permit Application F
FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 4624553 Fax: (772) 462-1578
PERMIT APPLICATION FOR :
PROPOSED IMPROVEMENT LOCATION :
Address: 5644 Travelers Way Fort Pierce FI 34982
Property Tax ID #: 3410.503-0050-000-7 Lot No. S
Site Plan Name : PALM GROVE S/D BLK B LOT 5 (0. 12AC) Block No. B
Project Name: Rhodes R1184
DETAILED DESCRIPTION OF WORK :
Reroof
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 Wind ws/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator of Pitch
Total Sq . Ft of Construction : 2169 Sq . Ft. of First Floor: 1792
Cost of Construction : $ 15000 Utilities: _ Sewer _ Septic Building Height: 12
OWNER/LESSEE : CONTRACTOR :
Name Robin Rhodes Name : Daniel Beckner
Address: 5644 Travelers Way Company: Paradise Exteriors
City: Fort Pierce State : — Address: 1918 Corporate Dr
Zip Code : 34982 Fax: City: Boynton Beach State: FL
Phone No. F Zip Code : 33426 Fax:
E-Mail : Phone 1\10561 -732-0300
Fill In fee simple Title Holder on next page ( If different E-Mail permits. paradiseext@gmaiLcom
from the Owner listed above) State or County License CCC1 328522
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 MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: _ City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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 certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countyy makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in confi(ct with any applicable Home Owners Association rules, bylaws or an9covenants 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 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
with I er or an attorney before commencing work or recording our Notice of Commencement.
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Signat r of Owner/ Less /COI rac or as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF P6 CC COUNTY OF�C .
Sw to (or affirmed) and subscribed before me of Svyo to (or affirmed) and subscribed before me of
Ph sical Pre ence or Online Notarization hysical Pres ce or _ Online Notarization
t Is day of 2024 by t day of �r ; \ . 202+ by
1 L
Name of person making statement. .
Personally Known OR Produced Idfpipp` Personally Known OR Produced Identf
Type of Identification "' Type of Identification
Prod t�j Produced,
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(Signature of Notary Public- State o Florid ) g�°<P, y G gnature of Notary Public- State of Florida
c er 2 < 20 G
Commission No.l-)NO(1� r5i5 (Seal) °�^;� Co�ission No. 111-{C197S`� S (Seal)
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REVIEWS FRONT ZONING SUPERVISO * LANS VEGETATION SEATURTLE MANGROVE a
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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