HomeMy WebLinkAboutBuilding Permit AppALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Other
c P p AMP }fMENT LOCATION:
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Address: 5905 Seagrape Drive, Fort Pierce, FL. 34982
Legal Description: INDIAN RIVER ESTATES -UNIT 08- BLK 19 LOT 23 (MAP 34/11 S) (OR 252-391)
Property Tax ID #: 3402-609-0001-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Build 10' x 12' poly roof screen room on existing slab.
CONSTRUCTION INFORMATION:
Additional work to be e orme under this permit — check a apply:
pin g
Gas Tank ❑Gas Piping M Shutters Windows/Doors
—
Electric ❑ Plumbing Sprinklers E] Generator Roof
Total Sq. Ft of Construction: 10 x 12 S Ft. of First Floor:
Cost of Construction: $ 2,200.00 Utilities:Cn Sewer []Septic Building Height:
CONTRACTOR:
Name Gary and Rhonda Rowe
Name: Nathan Cooke
Address: 5905 Seagrape Drive
Company: Cooke Construction, Inc
City: Fort Pierce State: FL
Address: 1276 Business Park Place
City: Jensen Beach State: FL
Zip Code: 34982 Fax:
Phone No. 772-971-3635
Zip Code: 34957 Fax:
E-Mail: rhondarowe@renarhomes.com
Phone No. 772-530-0659
Fill in fee simple Title Holder on next page ( if different
E-Mail: nate@cookeconstructioninc.com
State or County License: CGC1520585
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City: State:
Zip: Phone:
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 record
_ Signature of Owner/ Lessee/Agent
STATE OF FLORID I
COUNTY OFw�*� ✓�
Notice of Commencement.
The forgoing instrument w s acknowledged before me
this h day of J1iG+�lcwt��'2, 2020 by
(Na
(Signature of Notary Public- State-af-rorida )
Personal) Kno :; oduced 4i4' i
y Notary Pii6ti'c S�tbdd
Type of-kfertY1 ication
u t1 ` My Comm. Expires Aug 25, 2024
Commission No. /r r1 ' ded throe(",ional Notary Assn.
Revised 07/15/2014
re of Contractor/License Holder
STATE OF FLORI � r
COUNTY OF l/��
The forgoing instrument was acknowledged before me
this i/—day of /�)t C"k &"L_ , 20 Z�,O by
(Name of perso kno
(Sig ature of Notary Public- State o ida )
Personally K pN" IR'P, .o ced Ide*tmtPAXff u
Type o i i t on Prod e_ ': Notary Public - State of Florida
Commission A HH 32033
Commission No. ///[3�- ' ' My piresAug 25, 2024
Bonded tIational Notary Assn.
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