HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR' APPLICATION TO BE ACCEPTED'
Permit,Number:
s>Tro' l� LC1fE
20 s
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial' Residential
2300 Virginia Avenue,, Fort Pierce FL 34982;
11
Phone: (772) 462-1553 Fax: (172) 462-157$
PERMIT APPLICATION FOR:
PROPOSED_IMPROVEM,ENT LOCATION .::.
CROWN CT. FORT PIERCE . FL 34949
Propertyr7ax'ID fiii 1414-701-0177-000-7 Lot:No.
Site Plan Name:,
& NANCY DEPIETRO
13 Windows & 5 Doors
New'Electrical Meter. Second Electricalheter (Affidaaitrequlredj
Additiohalworkto'beperformed Underthispermit—checkallthatapply}
Block;Nq,
Mechanical, _Gas Tank _Gas Piping _Shutters: _N/indows/Doors _Pond
^Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total$q. Ft of Construction: Sq, Ft, of First Floor:
Cost of Construction: $ 40,000 Utilities: _Sewer _Septic Building Height:
%
OW�I,E�t/LESSEE
�
.CONTRACTOR
Name VICTOR & NANCY DEPIETRO
Name: DAN BECKNER
Address;12 CROWN CT
Company: PARADISE EXTERIORS LLC
City: FORT PIERCE
State; FL
Address:1918 CORPORATE DR
Zip Code:- 34949 Fax:
City: BOYNTON BEACH State FL
Phone No.631-9264415
Zip Code: 33426 Fax:
Phone No 561-732-0300
E-Mail:
Fill in feesimple Title Holder on next page
(if different
E-Mail permits.paradiseext@gmaii.com
state or County License>SCC131150472
from the Owner listed above)
If value of construction is 2500: ormore, -aRECORDED Notice of commencement .Is required.
If value bf'HAVC Is$7,SOD 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 an Y 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 attorneybefore commencingwork or recordingour Notice of Commencement,
gnature of Contractor - or - Owner Builder as applicable
STATE OF FLO,74 y �--
COUNTY OF !
SwoSn to (or affirm bscribed befgreme of Physical Presence or _ Online Notarization
this yu day of e an u20� y
Name of person making s atement.
Personally Known OR Produced Identification
Type of Identific '
(Signat e ff Notary Public- State of Florida) �—
n,' CA SAQUOAWHARTON
��
Commission No. � (Seal) {'• MYOOMMISSION#HH2O3974
1*1 EXPIRES: 0e0ember2,2026
rPill dI SandadTMuNoler/ undervnpere
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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