HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Kermit 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:
PR67ppSED IMPROyEM
Address 7008 LAKE LAND BLVD, FORT PIERCE , FL 34951
Property Tax iD #:1301-611-0008-000-9 Lot No.
Site Plan Name: Block No.
Project Name: TIMOTHY THAYER
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 Constructions
Cost of Construction: $ 12,800
_Gas Piping
_Sprinklers
_Shutters
_Generator
Sq, Ft, of First Floor:
Windows/Doors _Pond
_.Roof Pitch
Utilities: _Sewer _Septic: Build(rgHeight;,
OWNER/LESSEE ..
GbNTRAGTt�R
N a me"TIMOTHY THAYER
Name: DAN BECI NER
Address:7008 LAKELAND BLVD
Company: PARADISE EXTERIORS
LLC
City: FORT PIERCE
Zip Code: 34951 Fax:
Phone No.530-329-9253
State: FL
Address:1918 CORPORATE DR
City: BOYNTON BEACH
Zip Code:33426 Fax:
Phone No 561-732-0300
State:FL
E-Mail:
Fill in fee simple Title Holder on next
from the Owner listed above)
page (if different
E-Mail -V I
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 Noticeof Commencement Is required.
S,UP�LEMENTAL CC}NSTRUCT(ON LIEN LAW
INFt}ftMATiQJV
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 tothe issuance of permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
fli which is in conct with any applicable Home Owners Association rules, bylaws or that
and covenants 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 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 attorne before commencing work or recording our Notice of Commencement.
Sig. -re of O ne s. ee/Co actor ArAgent for Owner
Signature of.Contractor/License
STATE OF FLORIA %
COUNTY OF S
STATE OF FLORIDA
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COUNTY
Sworn to (or affirmed) and subscribed before me of
x
Swor to(or affirmed) and subscribed before me of
.Physical Presence Qr Online Notarization
this_fp day` IiJ
hyslcal Presence or Online Notarization
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thisjcL day of f 2021 by
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Name of person m ing statement,
Name of person making stateme
Personally Known OR Produced Identification
Personally Known Pr lT}�.
OR ut dERiti I lion____
Type of Identification
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Type of Identificati�_
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(Signature of Notary
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(Signature of Notary Public -State of Flo I a oP FG
� Note State of Florida
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Commission N0._ �. qw"
Commission No.______
qCommissionne
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Expires 11/07/2024
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REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MAN VE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETE D
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