HomeMy WebLinkAboutAldermanApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
LL J
Permit Number:
Building Permit Application
Planning 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: Concrete Slab
PROPOSED IMPROVEMENT LOCATION:
Address: 17802 Bridle Way
Residential X
Property Tax ID #: 3211-701-0019-000-5 Lot No. 17
Site Plan Name: Carlton Country Estates (PB 46-29) Lot 17 (5.132 AC) Block No -
Project Name: Alderman
[DETAILED DESCRIPTION OF WORK:
New Concrete Slab 45' x 20' W( J)k) 12`rX I -r604e-4'*'
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
Electric _ Plumbing
Total Sq. Ft of Construction: CI 00
Cost of Construction: $ 11700.00
Sprinklers _ Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name James/Lee Ann Alderman
Name: Jonathan Starratt
Address: 17802 Bridle Way
Company: White Aluminum
City: Fort Pierce State:
Zip Code: 34987 Fax:
Phone No. 772-595-4426
Address: 2880 SW 42nd Avenue
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No 772-692-0090
E-Mail astaples@whitealuminum.com
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License CGC 1523855
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: x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x— Not Applicable
BONDING COMPANY: x 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 arid 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 attorneybefore commencing work or recording our Notice of Commencement.
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Signature of Owner esse ❑ntractor as Agent for Owner Signature of Coutr tor/Li se Holder
STATE OF FLORI STATE OF FLORIDA 1 l�l�Yl i IV COUNTY OF COUNTY OF
w rn to (or affirmed) and subscribed before me of rn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization Physical Presence or Online Notarization
this day of 2020 by this day of 12020 by
J -\ —4ACu' 'i &���
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
(Signatu a of N tary Public- S gnAure of otary Public- State of Florid
�6 r Are,. Notary Public Slate of Florida �'+�'�^� �a`a Qab�lc $igt� of Florida
Commission No. `F 1a Staples / ,-,r�hY w
(Mymmission GG 235102 C mission No. C�,�� •t ! r� ���1 StaP}e5
y n,ty Commassjon GG 235102
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