HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
` c G; �a — Building Permit Application
Planning and Development Services
Building rind Code Regulation Division Commercial � ResiC
2300 Virginia Avenue, Fort Pierce FL 34932
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITAPPLICATION FOR:
PROPOSED IMPROVEMENT10CgTION
ddress: 7401 PENNY LN, FORT PIERCE, FL 34951
A
Pro perty Ta x I D #:1301-607-0295-000-4 Lot No.
Site Plan Name: Block No.
Project Name: JUAN GALLEGOS
New Electrical Meter Second Electrical Meter
Additional workto be performed under
this permit—checkall
that apply:
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`OWNERfLE55�Et VONTRgOI"OR ,
NameJUAN GALLEGOS Name:DAN BECI NER
Address:7401 PENNY LN Company: PARADISE EXTERIORS LLC
City: FORT PIERCE State: FL Addressi1918 CORPORATE DR
Zip Code: 34951 Fax: City: BOYNTON BEACH State:FL
Phone No.772-519-8706 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
uun a couu or more, a ne��nueu Notice of commencement Is required.
If value of HAVC is$7,500 or more, a RECORDED Notice of Commencement is required.
uun a couu or more, a ne��nueu Notice of commencement Is required.
If value of HAVC is$7,500 or more, a RECORDED Notice of Commencement is required.
5UPPLEME,NTALCONSTRUCTION LIEN LAW INPQRMATION
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
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Address:
Address:
City:
City:
Zip: Phone: _
Zip: phone: —
OWN ER/ 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 apermit will. authorize the permit holder to build the subject structure
in
which is 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 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 befcfe commencing work or recording our Notice of Commencement,
Signature of Owner/ Lesse ontra or as gentfor Owner
Signature of Contractor/License Holder
STATE OF FLORIDA /,.
COUNTY OF 11 ��I�
STATE OF FLORIDA
COUNTYOF___ _c
n to (or affirmed) and subscribed before me of
Presence or Notarization
Sworn (or affirmed) and. subscribed before me of
�� 2hysical _—_:Online
_ Physical Presence or... Online Notarization
this day of 202J by
this day of by
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Name of person making statement, -
Name of person making sta ment.
Personally Known OR Produced Identification_
Personally Knpwn=OR Produced Identification
Type of entification
Type of Identification
Prod ed
Produc
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(Signature of Notary Pub] - l ac. or
CAJYLIN
ignature of Notary Pub I St@ o'f,IElo ida) CAF
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MY COMMISSION It HH 06559
MYrFOh�i� ISSION8HH 065595
Commission No. -
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mmission No.___ E�:November ti9, 2024
EXPP(5• November 79, 2024
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SEA TURTLE
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COUNTER REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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