HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/26/2020 Permit Number:
o
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Aluminum Carport
PROPOSED IMPROVEMENT LOCATION: 4667 Arcadia Ave
o,a�irp« 4667 Arcadia Ave
Property Tax ID #: 1416-601-0045-000-2
Site Plan Name: Plat of Indrio - Unit 1
Project Name: Sammons Carport
DETAILED DESCRIPTION OF WORK:
Aluminum Pan Roof Carport and Isolated Footers
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
X
Lot No. 3
Block No. 16
Additional work to be performed under this permit —check all that apply:
Mechanical Gas Tank _ Gas Piping _ Shutters — Windows/Doors _ Pond
_ Electric — Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 693
Cost of Construction: $ 2400.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Marvin Sammons
Name: William Dramble
Company: Coastal Aluminum Construction, Inc.
Address: 4667 Arcadia Ave
City: Fort Pierce State: —
Zip Code: 34946 Fax:
Phone No. (772)249-9869
Address: 496 S Market Ave
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No (772)468-0288
E-Mail: marvinsammons@mail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail tinman2287@att.net
State or County License 20128
If value of construction is 2500 or more, a KtCUKUtU Notice or CAmmencement 15 requneu.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applica
Name: ASD
Address: 4401 Vineland Rd Ste A6
City: Odando State: FL
Zip: 32811 Phone (407)734-1470
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: X 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 Inalcatea.
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
.,:+4, 1,,. e r i.r or. o++^rnc., hafr%ra rnmmanrino work nr recnrdine vour Notice of Commencement.
W.L.. i ci �i a c,........ .......-
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Signs ure of Owner/ Lessee/ ontractor as Agent for Owner
sigKtuff of Contractor Icense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF St. Lucie
COUNTY OF St. Lucie
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
x Physical Presence or Online Notarization
this 26th day of June 12020 by
this 26th day of June 2020 by
0-1 EA
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
a�lorifiakTHER
(Signature of Notary Public FW[ ISS10N # FF140529
(Signature of Notary Public- a
RING
—Pep EXPIRES: July 10, 2020
//� MI TAM SIGN # FF140529
No. �:
Commission No.
Commission rA°� July 10, 2020
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Rev. 5/b/ZU