HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a Permit Number: I r
--tECEYVED
COUNTY
MAY 1 7 2019
_ • ._J Building Permit Applicatio
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMITTYPE: SCREENROOM
PROPOSED IMPROVEMENT LOCATIORt .
Address: 35 AZUL FORT PIERCE (SPANISH LAKES COUNTRY CLUB )
Property Tax ID#: 1301-111-0001-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF.WORK `
. .
BUILD SCREENROOM UNDER EXISTING ROOF/ON EXISTING CONCRETE '�9X 7 6,12e-eiL wa-145
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*STALXT!,'ON INFORMATION:
,
Additional work to be performed under this permit–check all that apply:
_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:$ 1735.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE " ACT
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CONTR OR:
NameJACK MATTUS Name:MATTHEW MARKS
Address:35 AZUL Company:EAST COAST ALUMINUM
City: FORT PIERCE State:_ Address:913 EDWARDS RD
Zip Code: 34951 Fax: City: FORT PIERCE State:FL
Phone No.610-212-8286 Zip Code: 34982 Fax: 772-464-7603
E-Mail: Phone No772-464-7600
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
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.
SUPT^LEME'NTAL CONSTReU'CTION 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:WYNNE BUILDING CORP Name:
Address:12804 SW 122 ND AVE Address:
City:MIAMi City:
Zip: 33186 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 thepermit 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF '? L94C1E COUNTY OF S'?. LuctE
The forWng instrument was acknowledged before me The forging instrument was acknowledged before me
this(V day of friPry 20_(I. by this W day of 2011) by
J0A11*e W 0A9Xg MAUMEW MAV_Ks
Name of person making statement. Name of person making statement.
Personally Known 11 OR Produced Identification Personally Known__` OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signature of Notary Pu �ia .�. �.a.-r (Signature of Notary Public
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DONALD M.NOLiutAN
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION ES�TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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