HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
1-
Lc iA L' _'V
c L ` '.- 1 L Lj� 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:glass room
PROPOSED IMPROVEMENT LOCATION:
Address: 135 Pepper LN Jensen Beach, FL 34957
Property Tax ID#: 4511-503-0014-000-6 Lot No.8
Site Plan Name: BAY TREE Block No.
Project Name: Hamilton Sunroom
DETAILED DESCRIPTION OF WORK:
Demo existing screen walls. Install new impact glass room within existing concrete lanai
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 Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 17,300.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Mark Inman Hamilton Name:Jonathan Starratt
Address: 135 Pepper LN Company:White Aluminum
City: Jensen Beach State: Address:2880 SW 42nd Avenue
Zip Code: 34957 Fax: City: Palm City State:FL
Phone No. 772-214-0261 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: Not Applicable MORTGAGE COMPANY: _ Not Applicable
Seaside En ineers/Edward Roske
Name: a Name:
Address:4265 Both ct Address:
City: Vero Beach State: FL City: State:
Zip: 32967 Phone 772-202-8008 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: 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 Nome 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 lobsite 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_
Signature of Owneo Lessek4tontractor as Agent for Owner Signature of Cont, ,'tor/L nse Holder
STATE OF FLORIDA STATE OF FLORIDA �Vl I ICJ
COUNTY OF M 0 COUNTY OF
5w rn to for affirmed) and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization __)� Physical Pre nce a Online Notarization
this M day of 2020 by this -30day of 2021) by
Name of person making statement. Name of person making statement.
Personally Known K OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identificaticl
Produced Produced
44VAf&) ��Jd� SL��' _
(Signature of hotary Public-State of Florida ) i ture of Notary Public-State of I i
�� + a Notary public State of Florida
l F- P r{ovary public State of FI rida /� ker 4�)Staples
Commission No. aedi�ngela Staples Com fission No. L]
{ A ify commission GG 235102
My commission GG 235 02 d' F%Pires 0710412022
Expires 07/0412022
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6l 0