HomeMy WebLinkAboutBuilding Permit Application,updated page 1All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/04/20 Permit Number:
[ L�"u Lam -
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:
PROPOSED IMPROVEMENT LOCATION:
Address: 13827 S. Indian River Dr., Lot 16
Property Tax ID #: 4509-805-0016-000-0
Site Plan Name:
Project Name: Heritage
DETAILED DESCRIPTION OF WORK:
Build 1 Vx41' aluminum carport over existing slab
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
Residential X
Lot No. 16
Block No.
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: $ Utilities: —Sewer _Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Robert Heritage
Name: Matthew Marks
Address: 13827 S. Indian River Dr.
Company: East Coast Aluminum Products, Inc.
City: Jensen Beach State: _
Zip Code: 34957 Fax:
Phone No.
Address: 913 Edwards Road
City: Ft. Pierce State: FL
Zip Code: 34982 Fax: 772-464-7603
Phone No 772-464-7600
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 License 24526
If value of construction is 2500 or more, a RECORDED Notice oT LOmmencemeri is requireu.
if value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name: Florida Aluminum Engineering
MORTGAGE COMPANY: x Not Applicable
Name:
Address: 5601 Mariner Street, Ste. 240
Address:
City: Tampa State: FL
City: State:
Zip: 33609 Phone 813-374-2403
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: x 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 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
with lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST_ LUn E
COUNTY OF St, Luce E
Swor (or affirmed) and subscribed before me of
Sw�o (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Presence or Online Notarization
this '74" day of DECZ` Ml E0- 12020 by
this 7±� day of GECIzNT L*-r_ 12020 by
Name of person making statement.
Name of person making statement.
Personally Known /OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
/
(Signature of Notary Public HOLMAN
(Signature of Notary Public- State fi! a)RUTH HOLMAN
*StFlo*UTH
NOTARY PUBLIC
Commission No.6iG 97.Xi3$TAME OF FLORIDA
f NOTARY PUBLIC
Commission No. GF9'i. 4*10 si TE OF FLORIDA
C&rfr# GG973640
w Comrr* GG973640
1
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.