HomeMy WebLinkAboutBuilding Permit Applicaiton i
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RF GE=>VED
JUN 0 2019
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• _._ _.-....
Per
Building Permit Application St. Lucie Countyene
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: IN FILL SCREEN ROOM
PROPOSED IM"P"ROVEMENT"LOCATION." "
Address: 33 LAS CASITA ( SPANISH LAKES COUNTRY CLUB )
Property Tax ID#: 1301-500-0752-000-8 Lot No.33
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF"WORK:
BUILD FRONT ENTRY SCREEN WALL W/SCREEN DOOR ON EXISTING CONCRETE UNDER EXISTING ROOF
CONSTRUCTION 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: $ 1030. Utilities: —Sewer —Septic Building Height:
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01INER/LESS`E'E" CONTRACTOR: {{
Name VERASTOPYRA Name:MATTHEW MARKS
Address:33 LAS CASITASCompany:EAST COAST ALUMINUM
City: FORT PIERCEState:_ Address:913 EDWARDS RD
Zip Code: 34951 Fax: City: FORT PIERCE State:FL
Phone No.293-1037 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 License24526
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.
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SUPPLEMENTALCONSTR'UCTION'UEN LAW'IN"FORMATION:
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 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 j
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."
1
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5.7 Lkc i G COUNTY OF 9T. LUG(E
The forgoing instrument was acknowledged before me The for!Wing instrument was acknowledged before me
this�day of 1uN8 1 20L by this?.%' day of Tu'J 6 20 l'Iby
MATTL4&W MAMV_s MA77Nrrw mAMyr
Name of person making statement. Name of person making statement.
Personally Known Ll-" OR Produced Identification Personally Known L__�OR Produced Identification'
Type of Identification Type of Identification
Produced Produced
d�1�
(Signature of Notary Public-Sta"e o1f;F rpr� a DONALD M.HOLM N4t"s" ture of Notary Public-S ate o Florida)
•.«ar°�e .
No Public-State of Florida \11111111
Commission No. ' I m fission No. ,.�o<Pa"°�a�.; S� I ONALD M.HOLMAN
_ ) Commission#FF 91 2C4� «°- tvD�aF�r Public-State of FI rl
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o,,occ� Commission#FF 9132 0
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- AlREVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION ary
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.211119
IL
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