HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I �GI act Permit Number:
R-4 , *LJ-0 "l
RECEIVED
• JAN 16 %'020
Building Permit Applic qp fl
S�"[dcie County, Permitting
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-15S3 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE: SUN ROOM WITH WINDOWS
PROPOSED IMPROVEMENT LOCATION:
Address: 18 LAKE VISTA TRAIL #205
Property Tax ID #: 3422-500-0250-000-7
Site Plan Name:
Project Name:
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: I
SUN ROOM WITH WINDOWS 11005E d15rvi1l/
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters ✓Windows/Doors
_Electric _Plumbbiing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: p j !oa Sq. Ft. of First Floor: !Y*
Cost of Construction: $ W/, e640 Utilities: —Sewer _Septic Building Height: ,46
OWNER/LESSEE:
CONTRACTOR:
Name SALVATORE D'ANDREA
Name: GARY WHIGHAM
Address:18 LAKE VISTA TRAIL#205
Company: SOUTH FLORIDAALUMINUM PRODUCTS
City: PORT ST. LUCIE State: _
Zip Code: 34952 Fax:
Phone No.
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
It value of construction is 52500 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: dr�.e �?on-4Wm14vN A41,01,C,6.rv, 3',.,�
Address: 151/0 1-tq4✓.veg_5, Svv&* //o
City: State: "':11
Zip: ?360A Phone 3?13' 7V—?_403
FEE SIMPLE TITLE HOLDER:
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Not Applicable I BONDING COMPANY: _Not Applicable
Name:
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 IMPR MENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEM T BE RECORDED AND
POSTED ON TH J SITE BEFORE THE FIRST INSPECTION. IF YO O OBTAIN INANCING, CONSULT
WITH XMR L15NDEV OR AN ATTORNEY BEFORE RECORDING Y NOT OF COMMENCEMENT."
Sig ature o Lessee/Contractor as Agent for Owner
ure Icense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST. LUCIE
COUNTY OF--. LUCIE
for
The g instru nt was acknowledged before me
/' 2010 by
The for=g¢nng instrum�nent was acknowledged before me
't 2%Wby
this ay of IJci
this /6 ay of �/2n�
GARY WHIGHAM
GARY WHIGHAM
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signatur nf FIa
(ignatur
o li '
MARYANN MART
TO
' MARYANN MATONTI
Commissi cj aN•; MY rnnnne�eSION 1l rv3138
Commissi
a,. :'- My COMMISSION
•so.: ,,•` EXPIRES January 24, 2020
•�r.!ai:,r EXPIRES January 24, 2020
arr
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2///ly