HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300Vrginia Avenue, Fort Pierce FL 34982 '....
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR :
PROPOSED IMPROVEMENT LOCATION :
Address: 5402 E ECHO PINES CIR, FORT PIERCE , FL 34951
Property Tax ID N: 1312-500-0143-000-0 Lot No. 142
Site Plan Name : Impact Windows Block No.
Project Name : DIANE RUSSELL
DETAILED DESCRIPTION OF WORK :
Replace (5) Windows.
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION :
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq . Ft of Construction: Sq . Ft. of First Floor:
Cost of Construction : $ 10,780 Utilities: _ Sewer — Septic Building Height:
OWNER/LESSEE: CONTRACTOR :
Name DIANE RUSSELL Name: DAN BECKNER
Address: 5402 E ECHO PINES CIR Company: PARADISE EXTERIORS LLC
City: FORT PIERCE State : FL Address: 1918 CORPORATE DR
Zip Code: 34951 Fax: City: BOYNTON BEACH State:FL
Phone No . 972-3654978 Zip Code: 33426 Fax:
E-Mail: Phone No 561-732-0300
Fill In fee 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. '..
SUPPLEMENTAL. Ct7NSTRUCT1 N;LIEN;LFIW:INFORMAT,ION
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 obtaina. permit to dothe work end installation as indicated .
I certify that no work or instaIlatiodhas commenced prior to the issuance of a permit.
St. Luc e County makes no represe tdation that is granting apermit will authorize the permit holder to build the subject structure
which is in con1wict 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.
Inconsideration 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 full concurrencyreview: "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
�ot'rraa`n�attorney before commencing work or recording our Notice of Commencement,
Signature of Owner/ Le See , etdr as Agent for Owner
STATE OF FLOR11i 1\ ��(
COUNTY OF
Sworqq��to (or affirmed ) and subscri ed before me of X Physical Presence or _ Online Notarization
thisLV AZ�LCUC
Name of p rson making statement,
Personally Known OR Produced Identification
Type of Ide ' 'catio reduced
(Signature o try Public- State of Florida. I SAOUOANM1NFiTON
MYCSAIMICAWH RTONJ
Commissio _____ (Seal ) i PEXPIRES: Decanber2, 20kw'o Bonded ThN Notary Public W&r
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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