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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i Date: �' � ed I,��als aN J 7 ermit Number: 1 07��— y I CR3 - esti : zs���_Y:� :.:._. n- - Building Permit Application RECEIVED Planning and Development Services Building and Code Regulation Division : JAN 2 4 2097 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x PERMIT APPLICATION FOR: Aluminum with concrete PROPOSED IMPROVEMENT LOCATIQN - •AF" Address: 5817 SPANISH RIVER RD Legal Description: PORTOFINO SHORES PHASE TWO LOT 300 Property Tax ID#: 131250201240007 Lot No.300 Site Plan Name: Block No. Project Name: Setbacks Front25 Back: 22.67 Right Side: 6 Left Side: 6 DETAILED DESCRIPTION OFWORK NEW 10'X19' CONCRETE SLAB, NEW ALUMINUM SCREEN ROOM, Y ALUMINUM COMPOSITE ROOF CONSTRUCTION INFORMATION Additional work toe nertormed under tispermit-check all appy: HVAC Gas Tank []Gas Piping Shutters Q Windows/Doors 11 Electric 0 Plumbing Sprinklers MGenerator E] Roof Roof pitch Total Sq. Ft of Construction: p/C S . Ft.of First Floor: Cost of Construction:$ Q C� ©(� Utilities:-Sewer❑Septic Building Height: OWNER/LESSEE: CONTRACTOR;.; - Name DANA&ELIZABETH DELP Name: CLIFFORD WELLS Address:5817 SPANISH RIVER RD Company: TREASURE COAST HOME IMPROVEMENTS INC City: FT PIERCE State:FL Address: 873 SW CALIFORNIA BLVD Zip Code: 34951 Fax: City: PORT ST LUCIE State:FL Phone No.772-242-8954 Zip Code: 34953 Fax: 772-673-3783 E-Mail:- Phone No. 772-263-9287 Fill in fee simple Title Holder on next page(if different E-Mail: CLIFFW5050@GMAIL.COM from the Owner listed above) State or County License: CRC057901 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL COJVSTR,UCTION LI,E,N LAW INFORMATI0N1" v,. DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: TARNOWSKI ENGINEERING Name: Address:7360 NW 5TH STREET Address: City: PLANTATION State: FL City: State: Zip: 33317 Phone: 954-727-2027 Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: 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 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 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 recording our Notice of Commencement. r-J_P- s Signature of /Lessee/Contractor as Agent for Owner Signature of on r ctor License Hold r STATE OF FLORIDA j STATE OF FLORI N COUNTY OFt COUNTY OF w L-6 r N a LLd L L, The for "5 in The forgoing Inst ent was acknowledged bef going ins u ent was acknowledged before z this day of 20 �b this day of 20/`J bys W Z CIJ ¢ W ¢>X =�W � X (Name of person acknowledging) m (Name of person acknowledging) ,`j�, Its••, (Signature of No ry Public-State of Flori ) (Signature of N fry Public-State of Florid / a) Personally Known OR Produced Identification Personally Known �OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. (Seal) Commission No. (Seal) Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE ;3'i A A�} INITIALS