HomeMy WebLinkAboutPermit Application - LeHewAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34987
Phone: (772) 462-1553 Fax: (772) 467-1578 Commercial _ Residential x
PERMIT TYPE. INFILL
PROPOSED IMPROVEMENT LOCATION:
Address: 5243 OAKLAND LAKE CIR FORT PIERCE FL 34951
Property Tax ID #: 1311-800-0066-000-4 Lot No. 53
Site Plan Name: Block No.
Project Name:
I—
f DETAILED DESCRIPTION OF WORK:
-
BUILD SCREEN ROOM UNDER HOUSE ROOF 10'X 20'
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 Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1560.00 Utilities: , Sewer „ Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name SARA LEHEW Name: PAATTHEW MARKS
Address: 5243 OAKLAND LAKE C I R Compar1y:EAST COAST ALUMINUM PRODUCTS
City: FORT PIERCE State: , Address:913 EDWARDS RD.
Zip Code: 34951 Fax: City: FORT PIERCE State: FL
Phone No. 772-801-5145 Zip Code: 34982 Fax: 772-464-7603
E -Mail: Phone No 772-464-7604
Fill in fee simple Title Halder on next page { if different E -Mail EaCAP INC@HOTMAIL.COM
from the Owner listed above] State or County License 24526
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,509 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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
BOND114G 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 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 pians, 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
"WARNINC 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 SJ Ltrcee COUNTY OF S'Ir Luc+ E
The for oing instrument was acknowledged before me Thefor ging instrument was acknowledged before me
"day by
this L of A 2D ;) by this (V day of MAY , 2QZo
HATTNEW MARKS
Name of person making statement. Name of person making statement.
�OR Personally Known � OR Produced Identification
Personally Known Produced Identification
Type of Identification j Type of Identification
Produced j Produce
(Signature of Notary Public- State } (Signature of Notary Public- State 'dAUTH HOLMAN
NOTARY PUBLIC NOTARY PUBLIC
TATE OF FLORIDA E 9F FLORIDA
Commission No.6417 3L V,0 Commission No, GL 9 731 VO
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► Expires 312612024
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