HomeMy WebLinkAboutpermit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
aell LL UP CM
Co _
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:
PROPUSED IMPROVEMENT LOCF?TfON_ T _
Address: 8006 LAKELAND III VD, FORT PIERCE , FL 34951
Property Tax ID #:1301-607-0108-000-7 Lot No.
Site Plan Name: Block No.
Project Name: SUSAN MCMAHON
8 Windows & 4 Doors
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters indows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 35,000 Utilities: TSewer _Septic Building Height:
-
N a me SUSAN MCMAHON
N a me: DAN BECKNER
Address: 8006 LAKE, LAND BLVD
Company: PARADISE EXTERIORS LLC
City: FORT PIERCE
State: FL
Address:1918 CORPORATE DR
City: BOYNTON BEACH State:FL
Zip Code: 34951 Fax:
Phone No.772-971-2885
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 HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTACCpNSTtl1CTIOtU LIEN
LAW
INfOF
MAT10%
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY
Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
N ot Appl ica ble
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! nstallation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting apermit 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 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
GST1.�t:ta7l[�xtT�C�27'di!�:T�RId�F.�
rn to (or affirmed) and subscribed before me of
_Physical Presence or __Online Notarization
t is day of 1(LQ2A by
5u�FCA V, o �► a n
Name of person making statement.
Personally Known V. OR Produced Identification___
Type of Identification
Y
5ignatur nse'�ol�er Contractor/Lice
STATE OF FLORIDA
to (or affirmed) and subscribed before me of
ysical Presen a or _ _Online Notarization
day of_, 202t1 by
Name
of person mak\ing//�S,taten
Personally Known �Y_ OR
ivoe of Identificatio---n "IIT'I
(signature of NotaryYubnc-state of o as0.o 'nature of Notary Public-SrSfe oTFlor�la 'yA%a`-'Gs"<G
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