HomeMy WebLinkAboutPermit Application - MaciasAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
�4rL,
C�C�V U ° Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia,Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:ALUMINUM CARPORT
PROPOSED IMPROVEMENT LOCATION:
Address: 1840 COPENHAVER RD.
Property Tax ID #: 2313-422-0002-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
BUILD ALUMINUM CARPORT W / POLLY ROOF ) 16 X i q's "
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 _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers
_ Generator — Roof Pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 7300.00 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name NICOLAS MACIAS
Name:MATTHEW MARKS
Address:1840 COPENHAVER RD
Company: EAST COAST ALUMINUM
City: FORT PIERCE State: _
Address:913 EDWARDS RD.
Zip Code: 34945 Fax:
City: FORT PIERCE State: FL
Phone No. 772-519-0731
Zip Code: 34982 Fax: 772-464-7603
Phone No772-464-7600
E-Mail:
Fill in fee simple Title Holder on next page ( if different
E-Mail ECAPINC@HOTMAIL.COM
from the Owner listed above)
State or County License24626
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
Name: FLORIDA ALUMINUM ENGINEERING
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:560'1 MARINER ST.
Address:
City: TAMPA State: FL
Zip: 33609 _ Phone812-374-2403
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: 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 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 perore commencing wuric ur H21LUFU H Ir, yuu► INULIcc UI I_Ul I II I ICI It -CI I ICI IL.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF ST. Lu t o
Sworn o (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this ZI day of 'kNaRtcy , 2020 by
/vMA77N f*J M AU4—S
Name of person making statement.
Personally Known _ _ OR Produced Identification
Type of Identification
Produced , D
(Signature of Notary Public- State icI N TARY PUBLIC
T TE OF FLORIDA
Commission No. _ GG973640
Expires 3/26/2024
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF TT. C.uci 6
Sworn (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this 2,1 day of .TANMAt-7 2020 by
AIAT 14EW MAX"
Name of person making statement.
Personally Known `_"—OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State d UTH H l
MAN
NOTARY PUBLIC
Commission No. %E OF FLORIDA
Comm# GG973640
Expires 3126/2024
SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW