HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n
Permit Number: C"UY-U(061
Date:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE:FILL IN ALUMINUM SCREEN WALLS NON SUPPORTING
PROPOSED IMPROVEMENT LOCATION:
Address: 6011 ARLINGTON WAY
Property Tax ID #:131250100840001
Site Plan Name:
Project Name: PORTOFINO SHORES
DETALLED DESCRIPTION OF WORK:
Lot No.149
Block No.
ADD ALUMINUM SCREEN WALLS TO THE REAR COVERED PATIO, TWO SIDES, NON SUPPORTING
20/20 SCREEN, 24" ALUMINUM KICKPLATE, ONE SCREEN DOOR,
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CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical Gas Tank
_ Electric _ Plumbing
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Total Sq. Ft of Construction: 100
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Cost of Construction: $ 1422.00
_ Gas Piping _ Shutters _ Windows/Doors
Sprinklers _ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
O W N E RAESSE E:
CONTRACTOR:
'Name LYLE BERRY
Name:CLIFFORD WELLS
Company: TREASURE COAST HOME IMPROVEMENTS, INC
Address:6011 ARLINGTON WAY
;City: FT PIERCE State: _
Address:873 SW CALIFORNIA BLVD
Zip Code: 34951 Fax:
City: PORT ST LUCIE State: FL
Phone No.772-293-1359
Zip Code: 34953 Fax: 772-673-3783
Phone N0772-263-9287
E-Mail:
Fill in fee simple Title Holder on next page (if different
E-Mail CLIFFW5050@GMAIL.COM
State or County License CRC 057901
from the Owner listed above)
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.
1,SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION':
x Not Applica
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Not Applicable
State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 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."
Signature of r/ Lessee/Contractor as Agent for Owner
Signature of C r for/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF �-{- LU ct ;
COUNTY OF
;The f,o�rg�oing instrument was acknowled before me
day
The or oing instrument was acknowledg before me
thisOtXY of 2011 by
thi day of_'(i'�D� 20 by
Name of p making statement.
Name of person rrWg statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
ignature of Notary Public- ate of Florida)
atu of Notary Public- St of Florida )
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