HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST,BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: Ott M,
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Building Permit Application cr?I-!j019
Planning and Development Services Pe string Depal
Building and Code Regulation Division
Lucie cou1 ent
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMITTYPE: INFILL
PROPOSED l"Ml0`ROVE MENIT LOCATION:
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Address: 8 VILLA MARIA
Property Tax ID#: 1301-500-1207-000-0 Lot No.8
Site Plan Name: Block No.
Project Name:
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DETFAILED DESCRIPTION OF WORK 7w
INSTALL FRONT ENTRY SCREEN ROOM UNDER HOUSE ROOF
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CO;NSTRUCTION:INFORIVIATION , " „
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: $ 1800.00 Utilities: —Sewer —Septic Building Height:
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ODUNER/LESSEE:" CONTRACTOR: n
NameLILLIAN CAVANAUGH Name:MATTHEW MARKS
Address:#8 VILLA MARIA Company:EAST COAST ALUMINUM PRODUCES
City: FORT PIERCE I
I State: Address:913 EDWARDS RD
Zip Code: 34951 Fax: City: FORT PIERCE State:FL
Phone No. ��/ , „ s/, �� Zip Coder 34982Fax: 772-464-7603
E-Mail: �m Phone No 772-464-7600
Fill in fee simple Title Holder on next page( if different E-Mail
from the Owner listed above) State or County License24526
If value of construction is$2500 for 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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SUPPLEt11ENTALC3NSTRUCTIC7N LIEN°LAW INFORiVIATION
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address: i
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
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,wails,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
THYOUR 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 FLOOODA STATE OF FLORIDA
COUNTY OF A- l—lac.%"-C_ COUNTY OF Sk %,x-i 4?
The forgoing instrument was acknowledged before me The forgoing instrumen as acknowledged before me
this c)-D-day of OL 2015 by this 7J-day of 04w201'� by
Name of person making statement. Name of person making statement.
Personally Know OR Produced Identification Personally KnownOR Produced Identification
Type of Identification Type of Identification
Produced Produced
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Aig
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n e of Notary Public-Sta a. a Ig ure of Notary Public-State Figfet;�•, KYLE ANDREW N
osta KYLE ANDREW DU -Y Notary Public-State o FI da
e�s ? = Notary Public State o Florida C,
Commission No. al) Commission GG 25 9d9m ssion No. �� \ :,� `'h Commission#GG 2 549 i
My Comm.Expires Sep t,2D2Z ,�F y Comm.Expires S p 2022
Bended through National Not4ry Assn.
Bonded through National o ry Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.217/19
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