HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/20/2021 Permit Number:
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
Residential X
PERMIT APPLICATION FOR: ENCLOSE 2ND FLOOR BALCONY WITH SCREEN AND POLY ROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 8139 Camoustie Place, Port St. Lucie, FL. 34986
Property Tax ID #: 3327-503-0026-000-5
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Enclose existing back 2nd floor balcony with new aluminum, screen walls, aluminum
floor balcony has an existing concrete slab floor.
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
_ Electric _ Plumbing
Total Sq. Ft of Construction: 182
Cost of Construction: $ 5300.00
Sprinklers _Generator
Lot No. 101
Block No.
and a new Poly roof. The 2nd
_ Windows/Doors _ Pond
Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name James Richards
Name: Keith Hommer
Address: 8139 Camoustie Place
Company: Boca's Finest Screening, Inc. DBA L&L Screening
Address: 4808 Regina Drive
City: Port St. Lucie State: fL
Zip Code: 34986 Fax:
Phone No.781-953-7187
City: Fort Pierce, State: FL
Zip Code: 34982 Fax:
Phone No 772-359-9426
E-Mail:llrl3@verizon.net
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail bocasfinestscreening@gmail.com
State or County License 30351
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: Mywse-Ho Kim. P.E.
Name:
Address: 26s3 aaaamal Drive
Address:
City: cooverclry State: Fr
City: State:
Zip: 33026 Phone954-5597247
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 1 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 your Notice of Commencement.
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature ofContractor/License Holder
STATE OF FLO IDA
COUNTY OF - Uj otV
STATE OF FLORIDA
COUNTY OF_t5
Swo n to (or affirmed) and subscribed before me of
h sical Presence or Online Notarization
this day of 2020 by
S (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
thi day of 20217 by
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Name of person making statement.
Name of person making statement. �r
Personally Known -)C— OR Produced Identification
Type of Identification
Produced
Personally Known � OR Produced Identification
Type of Identification
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-Lire of Notary Public-
Diary Public State of Florid
Commission No. (Q"a M Dailey
My Commission GG 326515
OF Expires OC/12/2023
nature of Notary Public- State of Florid
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C mission NO.66 326 �� ( Public State of Flon
'[R811a M Dailey
My Commission GG 32661
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