HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
pate:
LL 111
c�LE6�171
Permit Number:
Building Permit Application
Planning and DevelopmentServices
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Address: 5503 EASTWOOD DR, FORT PIERCE FL 34951
Property Tax I D #:1301-614-0018A00-1 Lot No.
Site Plan Name:
M
project Name: ICHAEL GOLDSMITH
New Electrical Meter Second Electrical
Block No,
Additional workto be performed. under this permit —.check all that apply: � �}
_Mechanical _Gas Tank _Gas Piping _Shutters ?!w Windows/Doors _Pond
_Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction:
_Generator
Sq. Ft, of First Floor:
Roof Pitch.
Cost of Construction: $ 13,500 Utilities: _Sewer _Septic Building Height:
OWN Efi/LESSEE: CONTRACTOR
NameMICHAEL GOLDSMITH Name:DAN BECKNER
Address:5503 EASTWOOD DR Company: PARADISE EXTERIORS LLC
City: FORT PIERCE Stater FL Address:1918 CORPORATE DR
Zip Code: 34951 Fax: City: BOYNTON BEACH State FL
PhoneNo.772-370-1683 Zip Code;33426 Fax:
E-Mail: Phone No 561-732A300
Fill in fee simple Title Holder on next page (if different E-Mail pertnits.paradiseext@gmail.com
gmail.com
from the Owner listed above) State or County License SCC131150472
If value of construction Is 2500 or more,.a RECORDED Notice aT'commencement Is requlreq.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
If value of construction Is 2500 or more,.a RECORDED Notice aT'commencement Is requlreq.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _Not Applicable
Name:
City:
Zip: Phone;
COMPANY: Not
Name:
Address:
City: State:
Zip: Phone:
Q
Address:
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 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
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 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 attorney before commencing work or recording _y_our Notice of Commencement.
Signatur6�cfiSwner/ Lessee/Contractor a`s"Ageni for Owner
Signature of Contractor/License. Holder
STATE OF FLORID STATE OF FLORIDA
sw
orn to (or affirmed) and subscribed before me of
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Physical Pres ce or _Online Notarization
_ day of Ezp�_, UJO\by
(�`1 rel�►c�e( �-7n �d �i� )
Name of person making statement.
Personally Known OR Produced Identification___
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Sw rn to (or affirmed) and subscribed before me of
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t is 'day of � 2021) by
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Name of person making statement.
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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