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Home My WebLink Aboutpermit application revised 10/1/20All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 2-00 1 -oLaq r c �� ' ` L tz -'f Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 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 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 J41 12"X I-Z" 1fe JO V-)� LA, l41 i Z �X.�._Zi�rn Q �e� k [� i eve roc] 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 _ Windows/Doors Pond — Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch Total Sq. Ft of Constructiom q 00 Sq. Ft. of First Floor: Cost of Construction: $ 11700.00 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: Address: 2880 SW 42nd Avenue Zip Code: 34987 Fax: City: Palm City State: FL Phone No. 772-595-4426 , Zip Code: 34990 Fax: E-Mail: Phone No 772-692-0090 Fill in fee simple Title Holder on next page ( if different E-Mail astaples@whitealuminum.com 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 1 MORTGAGE COMPANY: X Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLEHOLDER: 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 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 our Notice of Commencement. f G i --- I Signature of Owner esse ontractor as Agent for Owner Signature of Contr tor/Li se Holder STATE COUNTOY OF OR STATE OF FLORIDA yy F ,/J � , COUNTY w rn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization Syvgrn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization t is day of 12020 by this day of 2020 by "Joyla'f�\CaA S-fn_w&�f+ J L-Y�-f &�O�_ 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 (Signat a of N tary Public- S V111.griaAure of iotary Public- State of Florid rr` pcc� Notary Public state of Florida Commission No. �7� �: ( la Staples 235102 "` public State of Florida L ! ��--7 �• aw Nota C mission NO. L�L� J f `� ( B i� staples e gMMM13sion GG Expires 0710a12022 r Ally Commission GG 235102 -, Fxpiras 07)0412022 i REVIEWS FRONT ZONING - SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED @v.