HomeMy WebLinkAboutBuilding Permit Application All 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 APPLICATION FOR :
PROPOSED IMPROVEMENT LOCATION :
Address: 1590 NW SWEETBAY CIR, PALM CITY FL 34990
Property Tax ID #: 4426-803-0033-000-5 Lot No .
Site Plan Name : Block No .
Project Name : ANN CUNNINGHAM
DETAILED DESCRIPTION OF WORK :
Replace 15 Windows
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 Windows/Doors Pond
_ Electric _ Plumbing TSprinklers _ Generator TRoof Pitch
Total Sq . Ft of Construction : Sq . Ft . of First Floor:
Cost of Construction : $ 24,000 Utilities: _ Sewer Septic Building Height:
OWNER/LESSEE : CONTRACTOR :
NameANN CUNNINGHAM Na me : DAN BECKNER
Address: 1590 NW SWEETBAY CIR Company: PARADISE EXTERIORS LLC
City: PALM CITY State: FL Address: 1918 CORPORATE DR
Zip Code : 34990 Fax: City: BOYNTON BEACH State :FL
Phone N0. 302493-0230 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.
SUPP LEM ENTALCONSTRUCTION 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 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. 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
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The fallowing 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 OW NER : 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/ L IT
Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA �j � STATE OF FLORIDA
COUNTY OF rl d I n8106 COUNTY OF__—��� -----
Sw m to (or affirmed) and subscribed before me of Sw n to or aff rmed) and subscribed before me of
✓ Physical Presence or Online Notarization Physical Preyrife or ... Online Ngtar'Izotion
this J day of �jl ---_, 202b by th s� day of _ 202 by
Name of person makin/g statement. Name o person making
/sk atement.
Personally Known ✓ — OR Produced Identification __— Personally Known IJ _ OR Produced Identification
Type of Identification Type of Identif cation
Produced _ Produce --
(Signature of Notary P&' - State of Florida ) (Signature of Notary Public- State of Florida }
Commission No. ---- j($WS D . HOWELL Commission No. (Sea I�AITLIN REUL
MY COMMISSION 6 OU916911 ---- e,'qe;�;
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a= ember 19, 202
BoWedI ru NGiM Public Unde er f
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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