HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
LL�:LCC
i
e L" ` L u R Building Permit Application
Planning and Development Services
Building. and Code Regulation Division Commercial. Residential:--
2300'Virginia Avenue, Fort Pierce 'F1.34982. /
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PRdPOSED.INIRROUEMENTLOC/TIdN,
Address: 7904 LAKELAND BLVD, FORT PIERCE , FL 34951
Property Tax 11D#' 1301-607-0112-0004 Lot No.
Site Plan Name:
Project Name; DONALD & SANDRA BETHEL
11
New Electrical Meter Second Electrical Meter
Additionalworktobeperformed under this permit —check allthatapply:
—Mechanical
_Electric -
_Gas Tank
..Plumbing:
Total Sq. Ft of Construction:
Cost of Construction: $9,615
_Gas Piping
_Sprinklers
Shutters
_
_Generator
Block No:
�(Ni�idows/Doors _Pond
Roof Pitch
Sq, Ft, of First Floor;Utilities: _Sewer _Septic Building Height:
ER/LESSEE.;
CONTRACTOR
,OWN
NameDONALD & SANDRA BETHEL
NameDAN BECKNER
Addressr7904 LAKELAND BLVD
Company: PARADISE EXTERIORS LLC
City: FORT PIERCE
State: FL
Address1918 CORPORATE DR
Zip Code: 34951 Fax:
city: BOYNTON BEACH State FL
Phone No.772-882-2077
Zip Code33426 Fax:
Phone No 561-732-0300
E-Mail:
Fill in fee simple Title Holder on next page
(if different
gmail.com
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:RECbRDED Notice of"Commencement is required.
If value of HAVC is$7,500 armore, .a RECORDED Notice of Commencement is required.
OWNER/
LIEN LAW II�FQRM�TION'
5U,PPkEMENTALCONSTft,'lJCT10N
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:
CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work andJnstallation as Indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
ch
In
considerationofthe'granting
of this requested permit; I da 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 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 jobsitebefore the first inspection, If you intend to obtain financing, consult
with lender or an attornev before commencing work or recording your Notice of Commencement,
x
i
Agent for Owner I Signature of. Contractor/License Holder
STATE OFFLORIDA ,� STATE OF FLORIDA
S rn to (or affirmed) and subscribed before me of
P ysical Presence or _Online Notarization
, ,
(or affirmed) and subscribed before me of
Name of person making statement. Name of person making statement.
Personally Known
_Z. OR
Type of Identif cation
Identification___ Persona
OR
'VjNG�9 `�� Gad
Commission No..—_____ (Sea sq 6q�� Commission No: ____—_ (Seal). i�P,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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