HomeMy WebLinkAboutIMiller appAII APPTICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEDPermit Number:Building Permit ApplicationPlonning ond Development SeruicesBuilding ond code Regutatiolt Division Commefcial23oO Virginia Avenue, Fort dlerce FL 34982Phone: (772\ 462-L5$ F4x U72l 462-1578Residential xProperty Tax lD #:1 3 1 2-502-0 1 80-000-7L61 11s.430Site Plan Name:Block No.Project Name:DETAILED DESCRIPTION OF WORK:Form and pour a 12'x 12'patio slab with 8" x S" footersBuild a 12'x 12'screen room with an insulated aluminum roof systemNew Electrical MeterSecond Electrical MeterCONSTRUCTION INFORMATION :Additional work to be performed under this permit - check all that apply:_Mechanical _ Gas Tank_ Gas Piping_ Sprinklersshutters Windows/Doors Ponde"n"rr,Jr. Roof Pitch5q. Ft. of First Floor:-_ ElectricPlumbingTotal Sq. Ft of Construction;Cost of construction: $ 7,250 00Utilities:Sewer _L SepticBuilding Height:lf value ofconstruction is 2500 or more, a RECORDED Notice of Commencement is required.lf value of HAVC is 57,5@ or mor€, a RECORDED Notice ofCommencement is required,PERMIT APPLICATIoN FoR: SCreen EnClOSUfePROPOSED IMPROVEM ENT LOCATION:466r"5r. 5675 Sunberry Cir Fort Pierce, FL 34951OWNER/LESSEE:CONTRACTOR:Name Terry Miller466."sq. 5675 Sunberry CirCity: Fort PierceState:zip code: 34951Fax:p6eng I{s.370-0176E-Mail:Fill in fee simple Title Holder on n€xt page ( if differentfrom the Owner listed above)Name. David MillerCompany:A Quality Construction, LLC466rq5s.3531 S 25th StCity:Fort PierceState: FLZiP Cods; 34981Fax:ph6ng 111s772-343-0805E-MailAquaityol @bellsouth.netState or County License CBC1257739I
Name: rhomas AmerlACldfgsS: Fr544o Mg'iid sr sle lroCity:zip::rempd State:::oo" Y16a16MORTGAGF COMPANYT x Not ApplicableName:Address:City:State:Zip: _ Phone:FEE SIMPIE TITIE HOIDER: x Not ApplicableName:Address:City:zip:Phone:BONDING COMPANY: x Not ApplicableName;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 Countv makes no reoresentation that is Erantine a oermit will authorize the oermit holder to build the subiect structurewhich is in conflict with anv aoolicable Home Owiers A<ociation rules. bvlaws or and covenants that mav restrict dr orohibit sllchstructure. Please consult witli your Home Owners Association and review'vour deed for any restrictions \,rihich may afiply.ln consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the workin 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 useWARNING TO OWNER: Your failure to Record a Notice of Commencement may resul, in paying twice forimprovements tq your property. A Notice of Commencement must be rqrffed in the public records of St.Lucie County;ttfl posted on the jobsite before the first inspection. lf V{llftend to obtain financing, consultwith lendeodr^Jn attornev before commencins work or recordins volfr l/otice of Commencement.STATE OF FLORIDACOUNTY OFsworlto (or affirmed)and subscribed before me ofl-Phvsical Presence or online NotarizationtritsQ/.,gaay ot 0'.D iJ7i7 .zozo oyName of person making statement.STATE OF FLORIDACOUNTY OFCommission No.Notary Publk - Stateottto/ida,,[IH,ts!i,'fi f &l'i;11,'8di€d ii|Jrlh tiaMnt tior:ry A!:iSUPPLEM ENTAL CONSTRUCTION LIEN L,AW INFORMATION: