HomeMy WebLinkAboutBuilding Permit Application i
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: — ` 1-0 Permit Number: REceN
�. ,,.J ���,;�� a. ;,; •1AN 0� 1020
permitting County nt
• . __ St.Luc1e ,
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: INFILL
PROPOSED IiUIPROVEM;ENT.LOCATION:::. .
K
.. ..:. .:. .. .. >.. n ..
Address: 55 VILLA DEL NORTE FT. PIERCE FL. 34951
Property Tax ID#: 1301-500-1253-000.7 Lot No.55
Site Plan Name: Block No.
Project Name:
(DETAILED DESCRIPTIONOF WORK;;
r �.
BUILD A 3 WALL SCREEN ROOM UNDER HOUSE ROOF
i
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 Pitcl
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1750.00 Utilities: —Sewer _Septic Building Height:
OWNERJLESSEE CONTRACTOR
NameGAIL WOLCOTT Name:MATTHEW MARKS
Address:55 VILLA DEL NORTE Company:EAST COAST ALUMINUM
City: FT. PIERCE State:_ Address:913 EDWARDS RD.
Zip Code: 34951 Fax: City: FT. PIERCE State:FL
Phone No.518-534-0844 Zip Code: 34982 Fax: 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.
i
SU;PPLEMENTQLCOIVSTRUCTION LIEN LAIN INFORMATION
DESIGNER/ENGINE�ER.
Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: iState:
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 indicai
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 sucl
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 IIN YOUR PAY
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED A
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSI
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:"
Alm
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFS} Luc-
!7� COUNTY OF S-� Lyi.rC
The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me
this�day of 'D*(_ 201 by this day of D-e.C. , 20L'%,_ by
Name of person making statement. Name of person making statement.
Personally Known A- OR Produced Identification Personally Known I— OR Produced Identification
Type of Identification Type of Identification
Produced Produced
Signature of Notary Public-Stat ur Notary Public-S
.��yir Pu`•., KYLE ANDREW DUNN ;,ir PUB (YLE ANDREW DUNN
�G •�1e��'
NJ ry Public-State of Florid ?°: ter: Notary Pu lic-State of Flori
Commission No. �S � a• JSeal ommission U GG 257549 ommission No.GG 2 1 �&0� ion#GG 257549
'�orc}°P My Comm.Expires Sep 11,2022 ,oFF4:' My Comm.Expires Sep 11,20
Bd
Bonded through National Notary Ass oned through National Notary As
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGRO
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
lev. 2/7/19