HomeMy WebLinkAboutBULDING PERMIT APPLICATION - RODGERS All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
r� oAMR
G. . �'�p Building Permit APp,lication
Planning and Development services
Building and Code RequlationDivision Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone : ,(772) 4624553 Fax: (772) 462-1578
PERMIT APPLICATION FOR ;
PROP: SED . IMpRi7Vf,MENT.LOCATI+�N , ', , . . . , ::
Address: 290 SUNRISE DR, FORT PIERCE , FL 34945
Property Tax ID N! 230&601-0200-000-8 Lot No.
Site Plan Name : Block No.
Proje ct, Na me i CHARLES & KIIVIBERLY ROGERS
DETAILED DESCRIPTION nF WORK
Replace 6 Windows & 3 Doors
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUGTIQN 1NFORMATIOW-
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: $ 125500 Utilities: _Sewer _Septic Building Height: ,
OWNER/LESSEE% CONTRACTOR
_ .
Name CHARLES & KIMBERLY ROGERS Name: DAN BECKNER
Address: 290 SUNRISE DR Company: PARADISE EXTERIORS LLC
City: FORT PIERCE State;: FL Address : 1918 CORPORATE DR
Zip Code: 34945 Fax: City: BOYNTON BEACH State FL
Phone No . 772-216-8964 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@gmail.com
from the Owner listed above) State or County License SCC131150472
1f value of construction is 2500 or more; a RECORDED Notice of Commencement is regalred:
If value of"HAVCIs$7}500 or more, a RECORDED Notice of commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION :
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 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 any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with 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 our Notice of Commencement.
Signature of Contractor - or - Owner Builder as applicable
STATE OF FLT DA pp
COUNTY OF Ll V
Swor o (or affirme and subscribed lo ,�e me of Physical Presence or Online Notarization
this day of 20d�by
C �cC ,k e
Name of person maki g statement.
Personally Known X. OR Produced Identification ,: SAOUOAWHARTON
Type of Ident is tion Produc d z , My COMMISSION NHH2O3974
;` • P` EXPIRES: Oeeember2, 2026
••3,to Pik Bonded TMu N*1yPuN Wffiwft6m
(Signa re f Notary Public- Stt—r lorida)
Com fission No. 263 c( / Seal )
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ILev