HomeMy WebLinkAboutpermit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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) 462-1553 Fax: (772) 462-1578
PERMIT APPLICA I ION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 9415 S OCEAN DR, JENSEN BEACH , FL 34957
Property Tax ID #:3535-333-0001-240-6 Lot No,
Site Plan Name:
Project
Name: SUSAN &ALAN MARSHALL
DETAILEQ DESCRIPTION OF WORK:
Replace 5 Windows & 1 Door
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Block No
Additionalworktobeperformed 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: $ 15,000 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameSUSAN & ALAN MARSHALL
Name:DAN BECKNER
Address:9415 S OCEAN DR
Company: PARADISE EXTERIORS LLC
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax:
Phone No.908-872-6053
Address:1918 CORPORATE DR
City: BOYNTON BEACH State:FL
Zip Code:33426 Fax:
Phone No 561432-0300
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: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone
FEE SIMPLE TITLEHOLDER: _Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 County makes no representation that is granting a permit 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
n accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory usesto 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 lender or an attorney before commencing work or recording your Notice of Commencement.
Signature f OvJner/-Lessee/Contractor as Agent for Owner
Sig—n»�re of Contractor/License Holder
STATE OF FLORIDA I STATE OF FLORIDA
O CUNTY OF (iUCI f%
Sworn
to (or affirmed) and subscribed before me of
✓ Physical Presence or___ Online Notarization
this day of_13P1{J_C 2024 by
a�.l a��I.I
Name of perso makiinng statement.
Personally Known.[ _ORProducedIdentification___
Type of Identification
Produced__________
Notary Pu
Commission No.
REVIEWS
DATE
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FRONT ZONING
COUNTER REVIEW
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I�,�MMISSION X GG91
FXPI RES . September 26,
SUPERVISOR
REVIEW
Swor to (or affirmed) and subscribed before me of
__ Physical Presence or _ Online Notarization
this lay of L�_ 2024 by
_ �e0� -I,�Q_ ,
Name of person making statement,
Personally Known ✓ _ OR Produced Identification
Type of Identification
(Signature
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19, 2024