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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ►�o�— p�b��QQ
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Building Permit Application JUL 2 5 2017
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Aluminum without concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 5909 Balsam Drive
Legal Description. Indian River Estates Unit 09 Blk 87 Lot 21
Property Tax ID#: 3402-610-0517-000-3 Lot No. 21
Site Plan Name: Osteen Block No. 87
Project Name: Osteen
Setbacks �-Torit baric.: Alight Sides. tieh Side:
DETAILED DESCRIPTION OF WORK:
Elite Poly Roof Patio Cover on Existing Concrete Slab
=CONSTRUCTION INFORMATION:
Additional work toa orme under this permit—,heck a appy:
HVAC El Gas Tank Gas Piping _Shutters Q Windows/Doors
0 Electric ❑ Plumbing Sprinklers I Generator F] Roof Roof pitch
Total Sq. Ft of Construction: 224 Sq. Ft.of First Floor:
Cost of Construction:$ 2400.00 Utilities:oSewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Roger 8 Diane Osteen Name: William Dramble
Address: 5909 Balsam Drive Company: Coastal Aluminum Construction, Inc.
City: Fort Pierce State: FL Address: 496 S Market Ave
Zip Code: 34982 Fax: City: Fort Pierce State:FL
Phone No.772-464-8818 Zip Code: 34982 Fax:
E-Mail: Phone No. 772-468-0288
Fill in fee simple Title Holder on next page(if different E-Mail: tinman2287@att.net
from the Owner listed above) State or County License: 20128
If value of construction is$2500 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: ASD Name:
Address:5200 Vineland Road Ste 250 Address:
Citi.. State. F- Ct'g. State-.
Zip: 32811 Phone: 407-529.3300 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 thepermit 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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded 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.pecording your Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF__- COUNTY Of-,
The forgging instrument was acknowledged efore me The forgoing instrument was acknowledged before me
this ay of l 20 tTby this ay of 20 11 by
William Dramble William Dramble
(Name of person acknowledging) (Name of person acknowledging)
Ofjgnaature�o�fNo�
tary P - to of Florida ) (Signature of Notary Public f Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. HEATM-,R� Commission No. �" HL,�.I`HER �
My ION 29 ISSION 529
°�,F Jul
EXPIRES: y 10,2020 >A xn KF.S:July 10,2020
Of
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE � •�
INITIALS