HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
AUG 2 8 1119
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Building Permit Applic filpaciQ county, Permitting
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
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION
Address: 112 E Aldea Street, Port St Lucie, 34952
Property Tax ID#: 3419-515-0239-000-0 Lot No.3
Site Plan Name: River Park-Unit 3 Block No. 29
Project Name: Fedak, Leisa
DETAILED DESCRIPTION,O'F.WORK
u $-$
Accordion Shutters- 12 openings
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:$ 3289.00 Utilities: _Sewer _Septic Building Height:
Q WN LESSEE CQNTRACTOR:
Name Leisa Fedak Name:Karl Kandel
Address:112 E Aldea St Company:White Aluminum
City: PSL State:_ Address: 2880 SW 42nd Ave
Zip Code: 34952 Fax: City: Palm City State:FL
Phone No.305-484-1091 Zip Code: 34990 Fax: 772-877-2735
E-Mail: Phone No 772-212-1400
Fill in fee simple Title Holder on next page(if different E-Mail astaples@whitealuminum.com
from the Owner listed above) State or County License CBC 025116
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.
>S'UPPLEMENTAL CONSTRUCTION LEEN LAW INFORMATION
DESIGNER/ENGINEER: x—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 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 Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/ icense I e
STATE OF FLORID rr STATE OF FLORID,�)p
COUNTY OFCOUNTY OF
The forgoing instru nt was ack ledg efore me The forgoing instr dent was a nowledged before me
this�day of 20� by this�day of _ 20 by
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Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identificati n
Produced Produced
(SignatLrre of Not®r Public-'State of FIc0da 111111111 ature o No y Public-Sta_ ,
No ry Pubiic Stets Of Flora Notary Puba Stets of Flo
Commission No � °�` �,(S Tela Staples Co fission No. 23Jr�dZ– ;Q Beta Missio s
zr ' My Commission GG 2351 2 S 'Commission GG 235 0
EExpires 07/0412022
Expires 07/01/2022
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COUNTER ;. REVIEW- REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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