HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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U c - Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax_ I772j 462-1578
PERMIT APPLICATION FOR:INFIL.L
PROPOSED IMPROVEMENT LOCATION:
Address: 5235 OAKLAND LAKE CIR
Property Tax I D #: 1311-800-0064-040-7
Site Pian Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
BUILD A 3 WALL SCREEN ROOM UNDER HOUSE ROOF
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical — Gas Tank
_ Electric — Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 1175.
Gas Piping
Sprinklers
Lot No. 51
Block No.
Shutters Windows/Doors _ Pond
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LE55EE:
CONTRACTOR:
Name PAUL KAUFMAN
Name: MATTHEW MARKS
Address: 5235 OAKLAND LAKE CIR.
City: FORT PIERCE State:
Zip Code: 34951 Fax:
Phone No.972-974-3257
Company: EAST COAST ALUMINUM PRODUCTS
Address: 913 EDWARDS RD.
City: FORT PIERCE State: FL
Zip ,Cole: 34982 Fax: 772-464-7603
Phone No 772-464-7600
E -Mail ECAPINC@HOTMAIL.COM
State or County License24526
E -Mail:
Fill in fee simple Title Holder on next page j if different
from the Owner listed above)
if value of construction is 2500 or more, a RECORDED Notice cat Lommencement is requirea.
If value of HA'V'C is $7,500 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
BONDING 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 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or 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 -74.urlf COUNTY OF 97: LuxrE
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
&,-' Ph�sicaI Presence or Online Notarization "Physical Presence or Online Notarization
this � day of TU -011: 2020 by this tt!4 day of qtr E 12020 by
M$T7HEW MAg1ct H'#7zdP_w ArAttles
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
{Signature of Notary Public- State of Vorid�UTH HOLMAN (Signature of Notary Public- State o a)RUTH HOLMAN
' NOTARY PUBLIC NOTARY PUBLIC
Commission No. L a B*TE OF FLORIDA Commission No." 734(YQ TE OF FLORIDA
y Cornrn# GG973"0 CwwW GG973640
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
i COMPLETED
Rev. 5