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BUILDING PERMIT APPLICATION
All APPLICABLE INFO MUST BE COMPLETED.FOR APPLICATION TO WACCEPTED Date: 'Pernilt'NunSber; S fl .11L GILL Rim Planning and DevelopmentServices Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Building Permit Application Residential PERMIT APPLICATION FOR: 'P,OPO5- QI PRCIU M `�0.I06i � 1 ddress: 753 CYPRESS ST, PSL FL 34952 A , Property Tax IDfi: 3419-501-00814004 Lot.No: Site Plan Name: Block No.. Project Name: DONALD & JEANNE DOBBS New Electrical Meter Second Electrical Additlonalworktobeperformed underthispernilt—checkallthatapplyi ,_,Mechanical _Gas Tank Gas Piping _Shutters _tA/indows/Doors _Electric _Plumbing _Sprinklers. _Generator _Roof _ Total Sq, Ft of Construction: Cost of Construction: $ 2%000 (Affidavit required) Sq. Ft, of First Floor: _ Utilitles: _Sewer _Septiczg Building Height: Pitch c7WN.�Rf1.ESS�E�C�l'rKX>���1��L� NameDONALD & JEANNE DOBBS Name: DAN BECKNER Address; 753 CYPRESS ST Company: PARADISE EXTERIORS LLC City: PSL State: FL Address:1918 CORPORATE DR Zip Code: 34952 Fax: City:, BOYNTON BEACH State FL Phone No, 865-805-3682 Zlp Code: 33426 Fax; E-Mall: Phtne.Nb 561-732-0300 Fill in fee simple Title Holder on next page (if different E-Mail permits.paradiseext©gmail.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, 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, FMENIAL4 O IS�RUGTION i ILN AVjg INFORMATIMid SURPJ m yMORTGAGE DESIGNER/ENGINEER: _ Not Applicable COMPANY: Not Applicable Name: Name: Address: Address: City: State: _ City: State: Zip: Phone F _ Zip: Phone: P FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDING COMPANY: Applicable Name: Name: ,Not 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 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 conflicts with anV ap !cable Homeowners Association ru es, bylaws or a d covenants that may restrict or prohibit such structure. Please consult wit your Homeowners 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 vour Notice of Commencement. Signature of Contractor - or - wner Builder as applicable STATE OF FLO�IQA I t � , COUNTY OF �}- Sworn to (or affirmed a subscribed bys' me of Physical Presence or �, Online Notarization this day of� 4QLby Personally Known / � OR Produced Identification R Type of Identific Ion P duc tt (Slgnatur of lotary Public -State of Florida) t11 Commissio No. tt'�.39 (Seal) •uis'.` SAQUOAWHARTON MYCOMMISSION#HH293974 11'%t4.PA1V EXPIRES:DecemberZ2026 REVIEWS S VREVIEWON S MREV I COl°NTER (ROEVI W I REVIEWOR I REVIEW i I REVIEWLE I EWVE