HomeMy WebLinkAbout212 N 39th St PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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to _ Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
X
PERMIT APPLICATION FOR: Poly Roof Screen Enclosure and Concrete Slab
PROPOSED IMPROVEMENT LOCATION: 212 N 39th Street, Fort Pierce
Address: 212 N 39th Street
Property Tax ID #: 2408-603-0080-000-3 _ Lot No. 7 & 8
Site Plan Name: Dramble ^_ — Block No. 7
Project Name: Dramble
DETAILED DESCRIPTION OF WORK:
3" Insulated Aluminum Roof Screened Porch and 10' x 20' Concrete Slab
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: 200
Cost of Construction:
Sq. Ft. of First Floor:
Utilities: _Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name William Dramble
Name: William Dramble
Address: 797 Bent Creek Drive
Company: Coastal Aluminum Construction, Inc.
City: Fort Pierce State: _
Zip Code: 34947 Fax:
Phone No. (772)260-0260
Address: 496 S Market Ave
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No (772)468-0288
E-Mail: tinman2287@att.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail tinman2287@att.net
State or County License 20128
If value of construction is 75UU or more, a KtLUKUtU imouce O7 IOmmemumtln► a Icyuu cu.
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
Name: ASD
Address: 4401 Vineland Road Ste A6
City; Orlando
Zip; 32811
Phone (407)734-1470
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City.
Zip; Phone:_
State: FL
x Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:,
BONDING COMPANY:
Name:
Address:
City:
Zip; Phone:
x Not Applicable
State:
x Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to 0o the worK ana instatlation as inch dLCU.
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 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
_ .i^rL, r%r rarewriina vntir Nntire of Commencement.
With ienQer r art twat uctutc
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Hol er
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF St. Lucie
COUNTY OF St. Lucie
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
x Physical Presence or Online Notarization
this 16 day of November 2020 by
this 16th day of November 12020 by
William Dramble
William Dramble
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
a•c &'Cel m„o
a. � Q
(Signature of Notary Public- State of�� 4*jpa ROBIN A.ADAMS
(Signature of Notary Public- State of Florida )
.6 •'���'• Commission#GG341
69 mat ;'u�4o ROSINA.ADAMS
No. (68sslonNGG341269
Commission No. cal) Expires June9,202
Commission
Offs O ftMed TWU evdy.t N-t"y
es �� � Expires June 9, 2023
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