HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
P(anniny pment Services
Permit Number:
Building Permit Application
Z300 Virginia Avenue, Foci Pierce FL 3498Z
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Address: 185 SANDIA AVE, PSL , IZ 34983
Property Tax I D #:3419-540-0074-000-3 Lot No.
Site Plan Name: Block No.
Project Name: DANIEL & BELINDA BURKHEAD
New Electrical Meter .Second Electrical Meter
Additional work to be performed under this permit —check all that apply:
—Mechanical
Electric
_Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
_has Piping
_Sprinklers
_Shutters
_Generator
Sq: Et of First
Y� Windows/Doors _pond
Roof Pitch
Cost of Construction:$15,850 Utilities; _Sewer ._Septic BuildingHeigfiti
OWNER/LES$E6
NameDANIEL & BELINDA BURKIIEAD
Name:DAN BECKNER
Address:185 SANDIA AVE
Company: PARADISE EXTERIORS LLC
City: PSL State: FL
Zip Code: 34983 Fax:
Phone No.772-342-3931
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@gmail.com
State or County License SCC131150472
If value of construction is 2500 or more, a RECORDED Notice ofCommencement ls,required.
If value of HAVC is $7,500 or more; a RECORDED Notice of Commencement is required.
SUPPLEMENTALCONST,FiUCTI(7N
LIEN IA!NIN�7F3MATION
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:
---
——
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER) CONTRACTOR AFFIDVIT: Application is hereby made to obtain permit to dot he 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 buildthe 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 anv restrictions whirh may annly:
In consideration of the granting. of this req u
n accordance with the approved plans, the
he k
.perform twor.
The following building permit applications are exem pt from undergoing a fyll concurrency review: room adtlitions,
accessory structures; swimming pools, fences, walls, signs,. screen rooms and accessory uses to: another non•residentialuse,
W ING TO OWNER: Yourfailure to Record a Notice of Commencement may result in paying twice for
im rovements to your property, A Notice Commencement must be recorded in the public recon
uci County accTrOsted on the jobsite for he first inspection, If you intend to obtain financing,
th I nder orlan at ornev before comm .acme ork or recording vnur Nntirp of (nmmPnrPmpnf
of Owner/ Lessee/Contractor as
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribedbefore me of
_� Physical Presence or Online Notarization
this __ day of_2020 by
1pAwE LL 73IaR ►�HEAo
Name of person making statement.
Personally Known OR Produced Identification___
Type of Identification
Signature of. Contractor/License Holder
ATE OF FLORIDA
ST
�w n to (or affirmed) and subscribed before me of
Physical Presence;or _ Online Notarization
day of2020 by
�� irka�—
Name of person making statement,
PersonallyKnown _ OR. Produced Identification___.
Type of Identification
t �ignamre or rvotaPyyaonc- at-i P (Sighature of Notary Ply
Commission No. ____ J ME1 D. HOWELL —
�tMISSIONNGG916937 CommissionNo.___
EXPIRE,
:SememberM 2023
WWI
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION
COUNTER REVIEW RE -VIEW REVIEW REVIEW
DATE
RECEIVED
9a7 CAITLIN REUL
JJ��YCOMMISSION R HH 0
l SIRES: November 19,
Bonded Thai Notary Pubiic Um
SEATURTLE I MANGROVE
REVIEW REVIEW