HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: .2' S >D�p i) Permit Number:
Building Permit Appli ation FEB 5 2020
Planning and Development Services
Building and Code Regulation Division Permitting De ment
2300Virginia Avenue, FOrtPierce FL34982 St. Lucie CO nty, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMITTYPE:aluminum screen patio- 30rce , r oy ry-7
PROPOSED IMPROVEMENT LOCATION:
Address: 4001 aave o
Property Tax ID #: 240560104340005
Site Plan Name: sunland gardens
Project Name:
DETAILED DESCRIPTION OF WORK:
screen patio on side of home with poly roof
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: 204 Sq. Ft. of First Floor:
Cost of Construction: $ 4500 Utilities: -Sewer _Septic
Lot No.5
Block No. 25
Windows/Doors
Roof Pitch
Building Height: 8
OWNER/LESSEE:
CONTRACTOR:
Namenaomi hatcher scott
Name:william dramble
Address:4001 ave o
Company:coastal aluminum const inc
City: ft pierce State: _
Zip Code: 34947 Fax:
Phone No.
Address:496 s market ave
City: ft pierce State:fl
Zip Code: 34982 Fax:
Phone N07724680288
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailtinman2287@att.net
State or County License20128
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.
II. -
SUPPLEMENTAL CONSTRUCTI6 LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 ANATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
C
Signs ure of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA�n
STATE OF FLORIDA
COUNTY OF �/N (A.LI�
COUNTY OF
The for oing instru97ent was acknowledged before me
this day of c, oJ� 2 g.X by
The for oing instrume t was acknowledged before me
this day of 2Q- Vby
Name of person making statement.
Name o person statement.
OR
Personally Known OR Produced Identification
Personally Known Produced Identification
Type of Identification
Type of Identification
Produced
Produced
I , -/i �j�
L4,
(Signature of N
(Signature of Not t of Florida )
Commission No
� AUDREYB.HUMPHREV
d .i MycoM60331Df imp00a17
Commission No. f? AUDREYB.
k' EXPIRES: March S.2023
" 5f 4q• Bd EBE1h U 1 PImICU Ee1M1RM
y; �, 17
t �4 h PA �"GS: MNdI Q.2023
—WWI$ lif
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MA OVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
ZS
RECEIVED
DATE
COMPLETED
ev.