HomeMy WebLinkAboutPermit Application - MarxAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
o U�
»�o•E[DIDta
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:ALUMINUM CARPORT
PROPOSED IMPROVEMENT LOCATION:
Address: 2023 ST.LUCIE BLVD LOT#126
Property Tax ID #: 1433-504-0105-000-6
Site Plan Name:
Project Name: _
DETAILED DESCRIPTION OF WORK:
BUILD 11'X29' CARPORT W/ 3" POLY INSULATED ROOF
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 _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 6150.00
Generator
Sq. Ft. of First Floor:
Residential X
Lot No. 126
Block No.
_ Windows/Doors _ Pond
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameTINA CARNATHAN MARX
Address:2023 ST. LUCIE BLVD LOT 126
City: FORT PIERCE State: _
Zip Code: 34946 Fax:
Phone No. 772-480-4399
Name: MATTHEW MARKS
Company: EAST COAST ALUMINUM
Address: 913 EDWARDS RD
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-464-7603
Phone N0772-464-7600
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail ECAPINC@HOTMAIL.COM
State or County License24526
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.
SL4114JOW, A. CONSTRUCTION UEN LAW INFORMATION:
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: iL 1b etc, � t �,e,
; �1 r, �� ��� .
Name:
Address: _
Address: 6/,o/ e .,24u
City: Qe" -
State: L%
City: State:
Zip: Phone
Name of person making statement.
Personally Known C- OR Produced Identification
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY: —Not Applicable
Name:
Si nature of Notary Public- State of Florid
( g y a�� HOLMAN
Name:
Address:
Commission No. &C 'I 73C 44:)lv�w ARY PUBLIC
TE OF FLORIDA
, G43973640
Address:
City:
City:
Zip: Phone:
mires 312012024
SUPERVISOR
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 rises 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 attornev before commencine work or recording your Notice of Commencement.
Rev. 5/6/ZU
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF S7. Luc:C
COUNTY OF_'T, LuceE
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this Z3 day of OCT 12020 by
Swo�to (or affirmed) and subscribed before me of
Ph 5ical Presence or__ Online Notarization
this -P! day of 1:1 Cs , 2020 by
MA'r7/1E w M 019-144
/r/ ATTP§ >E by MA& K -C
Name of person making statement.
Personally Known C- OR Produced Identification
Name of person making statement.
Personally Known _ `® OR Produced Identification
Type of Identification
Type of Identification
Produced
ProducedRUTH _
Si nature of Notary Public- State of Florid
( g y a�� HOLMAN
(Signa e Notary NM—
to of Nota Public- State of TA YP
NOTARY PUBUC
Commission No. &C 'I 73C 44:)lv�w ARY PUBLIC
TE OF FLORIDA
, G43973640
Commission No. �, G 9)7 3C V6 RTATE OF FLORID
a Ni:l'W GC3973&W
E res 3/26/202
REVIEWS
FRONT
VFW— MI
ZONING
mires 312012024
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/ZU