HomeMy WebLinkAboutUtley Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-15S3 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Screen Enclosure and Concrete Slab
PROPOSED IMPROVEMENT LOCATION:
Address: 109 N Naranja Ave
Property Tax ID #: 3419-530-0212-000-2
Site Plan Name: Riverpark Unit 4
Project Name: Utley
DETAILED DESCRIPTION OF WORK:
Screen Enclosure and Concrete Slab
New Electrical Meter Second Electrical Meter
Lot No. 26
Block No. 39
CONSTRUCTION INFORMATION: I
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: 600 Sq. Ft. of First Floor:
Cost of Construction: $ 8,000 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name John Utley
Name: William Dramble
Address: PO Box 821
Company: Coastal Aluminum Construction, Inc.
City: Morganfield, KY State: _
Zip Code: 42437 Fax:
Phone No.
Address: 496 S Market Ave
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No (772)468-0288
E-Mail:
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 2500 or more, a REcoRDED Notice of commencement is requires.
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: x Not Applicable
N am e : Aluminum screen Design Name:
Address: 4401 Vineland Rd steA6 Address:
City: Orlando State: FL City: State:
Zip: 32811 Phone 888-607-0747 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: x Not Applicable
Name:_
Address:
City:_
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 rton-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 londpr nr nn attnrnPv hefnre commencine work or recordinia vour Notice of Commencement.
4nire
of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF st.Lucle
COUNTY OF st.t.ucle
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 22 day of December 12020 by
this 22 day of December 2020 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 ��JJ
a6&4 "I
(Signature of Notary Public- ev Flor8om IsalonkGG341269
iE�ri
(Signature of Notary Public- St J)orida )ROBINA.ADAMS
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Commission No. �RkpsJune9,2023
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Commisslon 6 GG 341269
Commission No. r c� (Spr�I�asJune9,2023
Bond.d Ttru Budoot HOWY Swvkw
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Rev.5/b/Z0