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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: /�' I � Permit Number: • luaw4.leda0 .6u� iw.lad Building Permit Applicati n - Planning and Development Services $101 AON Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial t PERMIT APPLICATION FOR: Aluminum without concrete PROPOSED IMPROVEMENT LOCATION: Address: 13987 CANCUN AVE. Legal Description: Property Tax ID#: 1 — u (/� — ©� y� Lot No. Site Plan Name: Block No. i Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK::-,,. ,, BUILD A 3 WALL SCREEN ROOM ON EXISTING CONCRETE UNDER HOUSE ROOF 91511 X 711 915" X 711 if 91511 X 71111 1 Ct)NSTRUCTI'ON INFORMATION. Additionalwor toe e orme under this permit—check a app y: HVAC E]Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors ❑Electric ❑ Plumbing ❑Sprinklers ❑Generator ❑ Roof Roof pitch Total Sq. Ft of Construction: SFt.of First Floor: Cost of Construction: $ 1720• Utilities:cn Sewer❑Septic Building Height: .OWNER/LESSEE; CO:NTRACTOR:, Name DONNA KOCHER'BURNS Name: MATTHEW MARKS Address:13987 CANCUN AVE Company: EAST COAST ALUMINUM City: FORT PIERCE State:FL Address: 913 EDWARDS RD. Zip Code: 34951 Fax: City: FORT PIERCE State:FL Phone No.740-359-0617 Zip Code: 34982 Fax: 772-464-7603 E-Mail: Phone No. 772-464-7600 Fill in fee simple Title Holder on next page(if different E-Mail: ECAPINC@HOTMAIL.COM from the Owner listed above) State or County License: 24526 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. oe SUPPLEMENTAL CONSTRUCTION LIEN LAW JNFOWATIO 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:913 EDWARDS RD, 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 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 your paying twice for improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before comme cin R work or recording our Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA ��, STATE OF FLORIDA COUNTY OF_- COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this& day of INI� 201173 by this C— -day of 20L'& by Name of person making statement Name of person making statement Personally Known f OR Produced Identification Personally Known rC OR Produced Identification Type of Identification Type of Identification Produced Produced of Notary Public-State of lQriAa.L _(Si ure of Notary Public-Stater rf )���t�q ;1►u °od KYLE ANDREW D AN Commission No, t Sot l `?°. /�,G ,25'15LI( KYLE Ac-St DUN Notary Public-Slate ftEtditl ion No.vv V (_ to Public State of Io da • Commission#GG 57549 Commission k GG 25'7�4 My Comm.Expires Se 11,2022 y Comm.Expires SeP t 22 Bonded through National N to Assn. „through National Nota I sri. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17