HomeMy WebLinkAboutbuilding permit app All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED'
Date : IIff rr �rr� Permit Number:
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17
Building Permit Application
Planning and Development Services
11
Building and CodeRegulationDivision Commercial R231d2iltld � .
2300 Virginia Avenue, Fort Pierce FL 34982. 1
Phone: (772) 462 1553 Fax: (772) 462-1578'
PERMIT APPLICATION FOR
PR+ P75b .1f�11PUM_ENI L+ } C( N m
Address: 11 EL CAMINO REAL, PSL , FL 34952
Property Tax lD 4t3426-500-0246-000-8 Lot No;,
Site Plan Name: Block No.
Project Name ; SANDRA ERMARK
Replace 6 Windows ( i 2(,
New Electrical Meter Second ,Electrical Meter
OONSTRU�f1�N INF�}I�,LUJATION �-j' �-
Additional work to be performed under this permit — check allthatapply:.
Mechanical _ Gas Tank _ Gas Piping _ Shutters, Windows/Doors 14 _ Pond
Electric _ Plumbing; _ Sprinklers, _ Generator Roof Pitch
Total So, Ft of Construction: Sq:-'Ft, of First Floor:'
Cost of Construction; $ 8,250 Utilities: Sewer Septic' Building,Height
OWN ERJLSSF ?N I SALT `
N a meSANDRA ERMARK N a me; DAN BECKNER
Address'.:11 EL CAMINO REAL CornpanytPARADISE EXTERIORS LLC
City: PSL State! FL Addre5si1918 CORPORATE DR
Zip Code: 34952 Fax c City: BOYNTON BEACH $tate FL
Phone No.203-722-6466 Zip ,Co& 33426 Fax:
EWaii: Phone No 561-732-0300
Fill in#ee simple Title Holder on next page ( if different E- Mail permits.paradiseext@gmaii.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.
�UPP4;EPIIENT,�L �;� �15�„RUiv'fIUfJUEN�I.A�11f� R�I`✓�'(�Q�1�` � —. _ . ems „ �' �,- _ ;`
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DESIGNER/ENGINEER :, Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address:: Address:
City: State :-, City: . Stater
Zip: Phone Zip; Phone:
FEE SIMPLE TITLE HOLDER: Not.Appllcable BONDING COMPANY: _Not Applicable
Name: Name::
Address :' Address:
City: City:
Zip:, Phone; Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtalna 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 Homeowners Associaton 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- 5t. 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 roor is and accessory uses to another non-residential use
WARNING TO OWNER: Yourfailure to Record a Notice of Commencement may result in pa"ying" twicefor
imp rovements 'to your property. A Notice of commencement must be recorded in the public recortls of St;
LuCle Countyand posted 'on the jobsite before the first inspection , Ifyou intehd to obtain financing, consult'
with lender or an attorney befojkxQrnmencin wcirk or recording our Notice.of Commencement; "
gna ure of Owner/:Lessee/Contractor as Agent for Owner signature of Contractor/License Holder
STATE-,OF FLORIDA STATE OF FLORIDA
COUNTY OF . L wA (; COUNTY OF
Swprn to (or affirmed) and subscribed before me of Swor to tile.(or affirmed) and subscribed before e.of
_ V Ph sical Presence or ;Online Notarization _ ysical Presen e or.. Online Notarization
this day of l (�� 202 by thi 1 day of_ 4020 by
r WOOn 4t
Name of person making/ statement, Name of person making statement.
Personally Known V— OR Produced Identification Personally Known y( O,R Produced ldentifcati_on ____
Type of Identification Type of dentificatio
Produced Prod ite _
vi A
( Signature of Notary; Pubi r a 1 :- (sig re , Notary Public-:. rate of'Florida :) -
v'"ft JAMES D. HOWELL
Commission NO:: MYCOW�}�SIONpC''G916931
EXpIRBJ'. 8eptember26, 2D23 Cpn11Tti551on No. .____`_ (Sea 1),
REVIEWS FRONT ' ZONING SUPERVISOR PLANS VEGETATION SEATURTLE• MANGROVE
COUNTER' REVIEW REVIEW REVIEW REVIEW " REVIEW REVIEW
DATE'.
RECEIVED
DATE
COMPLETED
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