HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Alonning and Development Services
Building and Code Regulation Division
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED IMPROVEMENT
LOCATION,
_
Address: 8907 S INDIAN RIVER DR, FORT PIERCE , FL 34982
Property Tax ID #:3519-503-0001-000-3
Site Plan Name:
Prpject Name: VALERIE BRYAN-WUNNER
22 Windows
Additional work to beperFormed underthispermit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_Electric _Plumbing _Sprinklers _Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ 22,000 Utilities: _Sewer _Septicre v
Lot No.
Block No.
Windows/Doors
Raof Pitch
Building Height:
OWNER/LESSEE: CONTRACTOR:- '-
NameVALERIE BRYAN-WUNNER Name: DAN BECKNER
Address:8907 S INDIAN RIVER 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.561-715-0269 Zip Code: 33426 Fax:
E-Mail: Phone No 561-732-0300
Fill in fee simple Title Holder on next page ( if different E-MailPermits.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
HVAC is $7,50D
or more,
a RECORDED Notice of Commencement is required.
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: NotApplicab
Name:
City: City
Zip: Phone: Zip:
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 CountYmakes no representation that is granting a permit will authorize the permit holderto build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws orand covenantsthat may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
Inconsideration 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITP YOUR LENDMR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Owner/
as Agent for Owner
STATE OF FLORIDA
CpUNTY OF l��
The f r oing instrument was acknowledged before me
of person mak�g statement.
Personally Knowtt� --OR Produced Identification
Type of Identification
Produced
(Signatureof Notar ate of Florida I
Commission No.
t'RES D. HOWE
COMMISSION N GG91
DERVISO
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF � ��-
The for oing instrument was acknowledged before me
�s ��
Name of person making statement.
Personally Known OR Produced Identification ---
Type of Identification
Produced--
,i
(Signature of Notary Public -State
No.CjI�ICSS�i..S=
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