HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INF MUST B C PLETED FOR APPLICATION TO BE ACCEPTEIu_
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: Aluminum without concrete
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I?ROPOSED INIPROVEM�ENTLOCATIOIU F k �
Address: 5301 Melville Road, Fort Pierce, FL 34982
Legal Description: 03 36 40 FROM A PT 1060 FT E OF C/L OF OLEANDER AV AND 6 ST RUN N 330 FT, TH ELY 175.92
FT FOR POB,TJ SLY 80 FT,TH ELY 130 FT M/L TOW R/W MELVILLE RD,TH NLY 80 FT ALG SD R/W,TH WLY 130 FT M/L TO POB(0.24AC)(OR 1047-859;2486-996)
Property Tax ID#: 3403-331-0008-000-9 Lot No.
Site Plan Name: Block No.
Project Name:(
Setbacks Front Back: -294 Right Side: Vs4- Left Side: �5
DETAILED SDESCRIPTION OF 1NORK ° �'
SCREEN ROOM/INSULATED ROOF
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F..�e\ Yvi' j b - �, q6 Y
CONSTRUCTI�ONINFORMATION �� s
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Additionalwork to _e a orme under t ispermit—c ec a apply:
11HVAC Ei Gas Tank Gas Piping Shutters Q Windows/Doors
Electric ❑ Plumbing QSprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: qg1 ,0 S . Ft. of First Floor:
00
Cost of Construction: $ Ms�� Utilities: _Sewer[]Septic Building Height:
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0� 1/NER/L=ESSE � w r CONTRACTOR
Name PATRICK GUETTLER Name: GARY WHIGHAM
Address:5301 MELVILLE ROAD Company: SOUTH FLORIDA ALUMINUM PRODUCTS
City: FORT PIERCE State:FL Address: 4807 SO US HWY 1
Zip Code: 34982 Fax: City: FORT PIERCE State:FL
Phone No. r Zip Code: 34982 Fax: 772-466-1074
E-Mail: Phone No. 772-466-0913
Fill in fee simple Title Holder on next page(if different E-Mail: SFAPBOOKS@SOFLALUM.COM
from the Owner listed above) State or County License: CRC1330712
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: DAVIS&CLEATON ENGINEERING Name:
Address:260 WEKIVA SPRINGS ROAD Address:
City: LONGWOOD State: FL City: State:
Zip: 32779 Phone: 407-539-2353 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 ou intend to obtain financing, consult,with lender attorney before
commencin yar rk or rec in our Notice of Commencement.
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Sig tur Owner/Lessee Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF_St-� COUNTY OF S L Cje.,I,N .P
The forgoing instrument was acknowledged�g fore me The forlg instrument was acknowledged before me
this�•�day of !' &A e j/_` 20 O 1 this 13 day of / 2fi NA ,20 by
��'►-�/ Cc�1, �� ham-.
(Name of erson acknowledging) (Name of person acknowl ging)
( ignatur of Notary Publi tate of Florida) (Signatur of Notary Public—State of Florida )
Personally Known OR Produced Identification Personally Known__JZOR Produced Identification
Type of Identification Produced Type of Identification Produced
MARY ANN AT ON
Commission o '? Commission N "' '"4;: MARY ANN Mi%T. ITI
IS910N RY53138 r' 'e Ivty COMMISSION 9 FF953138
•�io; R EXPIRES January 24.2020 EXPIRES January 24.202U
II(ih ill PIw+A,�No;:rv5nrv+u;::an ;40/1:01.V'b3 FkjncMNo:n•ySurvwv t;onr
Revised 07/15/2014
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