HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTS.;- �q/qq
Date: 3L oL�1 '.w Permit Number: 2w
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
RECEIVED
Building Permit Applicatio FEB 2 5 2020
ST. Lucie County, Permitting
Commercial Residential X
PERMITTVPE:SCREEN ROOM ON RAISED WOOD DECK
PROPOSED IMPROVEMENT LOCATION.;.`
Address: 409 E ERIE DR ( TALL PINES
Property Tax ID #:1433-210-0003-000-9
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:.
BUILD 12'X ISED WOOD DECK AND BUILD SCREEN ROOM UNDE
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
Mechanical
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction: -
Cost of Construction: $ 8450.
—Gas Piping
_ Sprinklers
_ Shutters
Lot No.
Block No.
ROOF ON WOOD DECK
Windows/Doors
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
`OWNER/LESSEE:
CONTRACTOR:
Name NICOLE TREMBLAY
Name:MATTHEW MARKS
Address:409 E ERIE DR.
Company:EAST COAST ALUMINUM
City: FORT PIERCE State: _
Zip Code: 34946 Fax:
Phone No.405-405-9651
Address:913 EDWARDS RD
City: FORT PIERCE State:FL
Zip Code: 34982 Fax: 772-464-7603
Phone N0772-464-7600
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail ECAPINC@HOTMAIL.COM
State or County License24526
If value of construction is $2500 or more, a HhCUKUGU Nonce or �UFT111JU[1LC111Cpaa wyuu
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
`SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
i
MORTGAGE COMPANY: _ Not Applicable
Name: F/o2: /a Ql/f w1 'n. ar �n a� n 22�7r'i a
Name:
Address: S1/4Maf?Zve,
Address:
3
Stater
City: State:
City: T�A�J«
Zip: Phone k13 -.Y7ci-r7ua3
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name: dP /n.xe/ Ta //�o 's, aS
Name:
Address: 6,56 A,/3
Address:
_
City: nJe Uoa /
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
is in con, with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
which
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."
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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 —5t COUNTY OPT
The forgoing instrujnent was acknowledged before me The forgoing instrument was acknowledged before me
day of Feh 20ZRI by
this �L( day of { C 202,0 by this .;LC
M -A S Rit., t e t -1 PL I_f�_5
Name of person making statement. Name of person making statement.
Personally Known 7r OR Produced Identification Personally Known/� OR Produced Identification
Type of Identification Type of Identification
Produced Produced
�:2 Z!f�f
Ignature of Notary Public- 5 te{9Fjorida kYLE ANDREW DUNN
`a°; Notary Public - State of Florid;(
I
ignature of Notary Public- Stat
4y,on'. KYLE ANDREWDUNN
•fir
�6`: r [.p�gtnission p GG 257549
Commission No y S 2022
Nata Public - State of Florid'
Commission No.b('%i 1Sy9 y d e (S
�� mission p GG 257549
y om Expires Sep 11,
Bonded through National Notary Assn.
or r�4e'' My Comm. Expires Sep 11, 202.
Bonded through National Notary Assr
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