HomeMy WebLinkAboutPermit Application - EssayAll 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 Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:2 SCREEN ROOMS
PROPOSED IMPROVEMENT LOCATION:
Address: 5005 S INDIAN RIVER DR.
Property Tax ID #: 3401-602-0002-000-2
Site Plan Name:
Project Name:
Residential X
DETAILED DESCRIPTION OF WORK:
BUILD 3 WALL SCREEN ROOM 14'X12'X14' W/POLY ROOF AND BUILD 2 WALL SCREEN ROOM 15'X23' W/POLY ROOF AND CONCRETE W/FOOTERS
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.1
Block No.
Additional work to be performed under this permit — check all that apply:
_Mechanical v 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: $ 13850.00 Utilities: —Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name ROBERT ESSAY
Name: MATTHEW MARKS
Address:11 PLEASANT LN
Company: EAST COAST ALUMINUM PRODUCTS
City: SOUTHAMPTON State: _
Zip Code: 11968 Fax:
Phone No.
Address:913 EDWARDS RD.
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-464-7603
Phone No772-464-7600
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 License24526
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
Name: FLORIDA ALUMINUM ENGINEERING
Name:
Address:5601 MARINER ST.
Address:
City: TAMPA State: FL
City: State:
Zip: 33609 Phone813-374-2403
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 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.
`111411�
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST. LkcrC
STATE OF FLORIDA
COUNTY OF CT. Lkc+E
Sworn (or affirmed) and subscribed before me of
yPhysical Presence or Online Notarization
this 3c;' day of DEc &m6f-rt 12020 by
Sworn�o (or affirmed) and subscribed before me of
9-Phaical Presence or Online Notarization
this 3o day of pEegMBtVt 12020 by
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M k1T;4E w w 4 m Ks
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- S� rkb*RY PUBLIC
STATE OF FLORIDA
Commission No. � Q GG973640
_
(Signature of Notary Public- State ofida TRUTH HOLMAN
NOTARY PUBLIC
Commission No.G� 973` yfl STATE OF FLORIDA
g 73 C if o Expires 3126/2024
Germ# GG973640
roe 3126/2024
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2