HomeMy WebLinkAboutBuidling Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Plonning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: INFILL
PROPOSED IMPROVEMENT LOCATION:
Address: 14339 AMAPOLA CIR. FORT PIERCE FL 34951
Property Tax ID #: 1306-501-0269-000-3
Site Pian Name:
Project Name:
DETAILED DESCRIPTION OF WORK;
BUILD FROUNT ENTRY SCREEN WALL UNDER HOUSE ROOF
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit–check all that apply:
Residential x
Lot No. 12
Block No. 21
Mechanical — Gas Tank _ Gas Piping — Shutters _ Windows/Doors _ Pond
_ Electric — Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction:
4
Cost of Construction: $ 1440.00
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameCAROLE WALSH
Name: MATTHEW MARKS
Add ress:14339 AMAPOLA CIR.
I Company: EAST COAST ALUMINUM PRODUCTS
FORT
City: FORT PIERCE State: T
Address: EDWARDS RD
Zip Cade: 34951 Fax:
City: FORT PIERCE State: FL
Phone No. 732-684-9576
Zip Code: 34982 Fax: 772464-7603
E -Mail:
Phone N0772-464-7600
Fill in fee simple Title Holder on next page ( if different
E -Mail ECAPINC@HOTMAIL.COM
from the Owner listed above)
State or County Lice nse24526
If Value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: — Not Applicable
Name:_
Address:
City:
Zip:
Phone
State:
FEE SIMPLE TITLE HOLDER; Not Applicable
Name:
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY: , Not Applicable
Name:
Address:
City:
Zip:
Phone:
State:
BONDING COMPANY: Not Applicable
Name:_
Address:
City:
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, wails, 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 pasted 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 S!r Lucrl= _._ COUNTY OF ST_ Lucia __-
Swo n to (or affirmed) and subscribed before me of Swor to (or affirmed) and subscribed before me of
' Physical Presence or Online Notarization :� Physical Presence or Online Notarization
this 1." day of XWOA _,2020 by this 1L" day of T+KApiR 2020 by
— &AZZmew � heirs ., - �y�r�NFk, MAR gj
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
t Produced
(Signature of Notary Public- State of Florid �TH HULAIFAN (Signature of Notary Public- State clMTH HOLMAN
A-0-
NOTARY PUBLIC
Commission No. L WRComWrr*GG973640 ARY PUBLIC Commission No. is o TE OF FLORIDA BOF FLi�RIDA
Cormr GG8738+10 `
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED