HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: k 3a ad Permit Number: ado i � d qM
Building Permit
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
PERMITTYPE:PATIO COVER
PROPOSED IMPROVEMENT LOCATION:
Address: 5348 Galley Way, Hutchinson Island, FL 34949
Property Tax ID #: 1410-502-0097-000-9
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
PATIO COVER 00 '
CONSTRUCTION INFORMATION:
RECEIVED
Applica ion JAN 3 0 �0?0
ST. Lucle county, Permittlnp
Residential x
Additional work to be performed under this permit —check all that apply:
Lot No.
Block No.
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: I Sq. Ft. of First Floor:
Cost of Construction: $ I Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name DAN F DARROW
Name: GARY WHIGHAM
Address:5348 GALLEY WAY
Company, SOUTH FLORIDA ALUMINUM PRODUCTS
City: HUTCHINSON ISLAND State: _
Zip Code: 34949 Fax:
Phone No.330-607-4657
Address:4807 SO US HWY 1
City: FT. PIERCE State: FL
Zip Code: 34982 Fax: 772-466-1074
Phone No 772-466-0913
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail SFAPBOOKS@SOFLALUM.COM
State or County License CRC1330712
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.
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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict 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 IMP EMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POST O E J B SITE BEFORE THE FIRST INSPECTION. IF YOU IN D 0 TAIN FINANCING, CONSULT
WR YOU ENDE OR AN ATTORNEY BEFORE RECORDING YOUR 1 F CO ENCEMENT."
ev.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not
Name; FLORIDAALUMINUM ENGINEERING
Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address: 5440 MARINER STREET SUITE 110
Address:
City: TAMPA
Zip: 33fi09 ph0ne81&3742403
Stale: Ft
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
Sign ofr essee/Contractor as Agent for Owner
Sign acto License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF sT. wcle
COUNTY OF sT. cvae
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
TI715 13TH day Of JANUARY zO�by
Tf115 13TH day Of JANUARY . 2O� by
GARY WHIGHAM
GARY WHIGHAM
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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