HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
`L & " `' " z,. Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial. Residential
230Q Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 5901 SILVER QAK nR, FORT PIERCE , FL 34982
Property TaxlD#:3402-607-0202-000-2 Lot NolT� _
Site Plan Name: Block No.
Project Name: WILLIAM & BETH CASEY
[_pETAILEp DESCRIPTION OF WORK: _� �^�
New Electrical Meter_ Second Electrical Meter
CONSTRUCTION
INFORMATION:
Additionaiworktobeperformed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors _Pond
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total $q. Ft of Construction:
Cost of Construction: $ 17,400
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name_WILLIAM & BETH CASEY Name: DAN BECKNER
Address:5901 SILVER OAK DR Company: PARADISE EXTERIORS LLC
City: FORT PIERCE State: FL Address:1918 CORPORATE DR
Zip Code: 34982 Fax: City: BOYNTON BEACH State:FL_
Phone No.772-332-9444 Zip Code: 33426 Fax:
E-Mail: Phone No 561-732-0300.
Fill in fee simple Title Holder on next page (if different E-Mail permits.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 $7,500 or more, a RECORDED Notice of Commencement Is required.
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.
LL
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: r
DESIGN ER/MG INEER: _Not Applicable
MORTGAGE COMPANY: Not ApplicableT
Name:
Name:
_
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE S IMPLE 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 certify that no work or installation has commenced prior to the issuance of a permit.
St. I.y:ie Countyy makes no representation that is granting apermit will authorize the permit holder to build the subject structure
Home bylaws that
which is in conflict with any applicable Owners Association rules, or and covenants 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 lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/ Lessee/Contraac or as ARe for Owner
�/
Signature of Co act r
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF, W al a
COUNTY OF__-------
Swyrn to (or affirmed) and subscribed before me of
Swor (or affirmed) and subscribed before me of
V Physical Presence or Online Notarization
Physical Presence or Online Notarization
H.
this 3L day of 2020 by
1Wj26 day of 202( by
—tA
_,
Name of person making statement.
Name of person making tatement.
Personally Known OR Produced Identification_--
Personally Known ✓ _ OR Produced Identification _^ _
Type of Identification
Type of Identification
Produced----- —
ProIII ---_
(Signature of Notary Public
HOWELL
nature of Notary Pu .1 TZ �RLy f
Commission No.
JAMES D.
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+;?.•:.off ;; EX MMISSrONp :CA,,,
Commission No._-- Bonded
$September26,2021
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FRONT
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SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
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REVIEW
REVIEW
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PATE
RECEIVED
COMPLETEp
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