HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCcrY ED
Date: Permit Number: oCk,iF1L S�3
• � �Q11E0
Building Permit Application )aN 271010
Planning
uilding and 0 e�t
de Regulation Division Pa SK1` 9leecpu ty
B
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE:ALUMINUM CARPORT
PROPOSE[) IMPROVEMENT LOCATION:
Address: 5096 MARGARET ANN LN.
Property Tax ID #: 1430-700-0025-000-4 Lot No.8
Site Plan Name: Block No. 2
Project Name:
DETAILED DESCRIPTION.OF WORK: 1`
I'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: Sq. Ft. of First Floor:
Cost of Construction:$ Utilities: _Sewer _Septic
_ Windows/Doors
Roof Pitch
Building Height:
°OWNER/LESSEE:' = '°,.
CONTRACTOR:
NamedAY GEARHART
Name:MATTHEW MARKS
Address:451 RIVERSIDE DR.
Company: EAST COAST ALUMINUM PRODUCTS
City: MCVEYTOWN State: _
Zip Code: 17051 Fax:
Phone No.717-994-4007
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 RECORDED Notice of Commencement is required.
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
Name: FIB dek- Alam:,n ,r,,, LN4,n PeP_;" �
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:�Z4Z/A man �oP Sl. JJ7iU
Address:
City: Stater
Zip: Phone 913-37Z/-96/o3
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ 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
wrrH roue 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 FL RIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF 4 L -c,
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
thisadayof �c 20& by
this 7� day of J�^ 20 9-�by
N_1411e � 1ti-4-1"s
M'-4 " fti Its _
Name of person making statement.
Name of person making statement.
Personally Known -7c— OR Produced Identification
Personally Known �L_ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
re of Notary Public-Stat
Ignature of Notary Public- Sta
tier °g KYLE ANDREW DUNN
• ' Notary Public - State of Flor
Commission No. �(� _ ��$ealkommimim p GG 257549
a
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_
mmission I
_a4i�r°� KY,E AND=. DJ%N
�= Notar Public - S:ate o' Fmrid
'� (5®mission - GG 257549
.......... My Comm. Expires Sep 11, 2
22'-
or nee, My Comm. Expires Se; 11, 20
Bonded through National Notary A
sr..
Bonded through Natioral notary Ass
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19