HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO
MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: tA \ Nal Permit Number:
RECETVED
~�-_-- Building Permit Applicati n MAR p 4 `0i9
Planning and Development Services
Building and Code Regulation Division ST. Lucie Count
2300 Virginia Avenue,Fort Pierce FL 34982 y, Permitting
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X'
PERMITTYPE:STORM PANELS
PROPOSED INPROVEMENT LOCATION:'9438 POINCIANA CT.
Address: 9438 POINCIANA CT. FT. PIERCE, FL 34951
Property Tax ID#: 1334-503-0004-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
STORM PANELS (,&,jrN(,S BSb .4tw941„IMIA 4. is e.► A 4-e-4
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that appl .
_Mechanical _Gas Tank _Gas Piping Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 3`78 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name CHRIS&ANDREA RUSSELL_ Name:GARY WHIGHAM
Address:9438 POINCIANA CT Company:SOUTH FLORIDA ALUMINUM PRODUCTS
City: FT. PIERCE State:_ Address:4807 SO US HWY 1
Zip Code: 34951 Fax: City: FT. PIERCE State:FL
Phone No. Zip Code: 34982 Fax: 772-466-1074
E-Mail: Phone No 772-466-0913
Fill in fee simple Title Holder on next page(if different E-Mail SFAPBOOKS@SOFLALUM.COM
from the Owner listed above) State or County License CRC1330712
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LEEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: -'t l c_o /nc. Name:
Address: 30 Address:
City: i�4, 1r+1a 6drJePtL State: City: State:
Zip: 33l Phonev36S- 7/' /S36 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 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 I ran torney before
commencing wo4 or rTe"ng your Notice of Commencement.
Sig ture o r ee/Contractor as Agent for Owner Signature of Conractor/License Holder
STATE OF FLO A STATE OF FLOc
COUNTY OF_ `�, 4.l e— COUNTY OF M Ly
The forging instruBt was acknowledged before me The for eRg instru as ackno ledged before me
this JJ:day of 20 by this day of On by
(:20 r-4 .W t
Name o person making st ement. Name of per on makingstatement.
Personally Known OR Produced Identification Personally Known �// OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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