HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INF°'O� MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED h
Date: _22 Permit Number:
RECEIVED
OCT 2"2 1019
BuildingPermit Application Permitting Department
St. Lucie County
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:INFILL
PROPOSED IM" OVEMENTLOCATION."
Address: 5239 OAKLAND LAKE CIR.
Property Tax ID#: 1311-800-0065-000-7 Lot No.52
Site Plan Name: Block No.
Project Name:
D& I,LE'D DESCRIPTION"OF WORK."- a�
ow
BUILD 3 WALL SCREEN ROOM UNDER HOUSE ROOF S`3 96 X Q
71,
CONSTRUCTION IN�FORMa4TION --
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: $ 925.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESS,EE ` ° `CONTRACTOR:
NameWAYNE MARTINEZ Name:MATTHEW MARKS
Address:5239 OAKLAND LAKE CIR Company:EAST COAST ALUMINUM
City: FT. PIERCE State:_ Address:913 EDWARDS RD
Zip Code: 34951 Fax: City: FT. PIERCE State:FL
Phone No.210-773-2144 Zip Code: 34982 Fax: 772-464-7603
E-Mail: Phone N0772-464-7600
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 Ps required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
i
SUPPLEMENTAL CONSTRUCTION LIEN LAW1NFORIOATION: ;
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 theermit 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 1 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/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 1,�,` COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2 day of C,CA- 20L by this ).�day of UC}- 20�by
Name of person making statement. Name of person making statement.
Personally Known-OC, OR Produced Identification Personally Known -;;/— OR Produced Identification
Type of Identification Type of Identification
Produced Produced
ure of Notary Public tom' Florida JKYLE ANDREW DUNK
• ., ( ' e o otary Public-State
F Notary public•State of Ficri : ;tWr qua KYLE ANDREW D N
Commission No.1.7V Qom: S6o{flmission M GG 25759 / _?°•, r�� tart'Public State f tido
4 r rtrtff mmission No. 191 �� �1 �• al Commission ft GG 2 7::19
M c m.Expires Sec 1..ZG `
.:
Bonded through Nationai notary A;r, orF,.• My Comm.Expires Sep 11 2022
through National ar Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.211119