HomeMy WebLinkAboutPermit Application - ClowAll 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
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential X
PERMIT APPLICATION FOR:ALUMINUM CARPORT
PROPOSED IMPROVEMENT LOCATION:
Address: 2023 ST.LUCIE BLVD
Property Tax ID #: 1433-504-0204-000-0
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
BUILD ALUMINUM CARPORT W / POLLY ROOF 12 'X 51'
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.253
Block No.
Additional work to be performed under this permit — check all that apply:
Mechanical _ Gas Tank —Gas Piping _ Shutters — Windows/Doors
Electric s Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 10400.
OWNER/LESSEE:
NameJUDY CLOW
o,I,Irpcc.2023 ST.LUCIE BLVD LOT 253
City: FORT PIERCE State:
Zip Code: 34946 Fax:
Phone No.772-242-8412
F-NAAiI-
Generator _ Roof
Sq. Ft. of First Floor:
Utilities: Sewer _Septic Building Height:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Pond
Pitch
CONTRACTOR:
Name: MATTHEW MARKS
Company: EAST COAST ALUMINUM
Address:913 EDWARDS RD.
City: FORT PIERCE State: FL
Zip Code:
34982 Fax: 772-464-7603
Phone No772-464-7600
E-Mail ECAPINC@HOTMAIL.COM
State or County License24526
i
cement is required.
If value of construction is 2500 or more, a RECORDED Notice of Commen
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:
Address:5601 MARINER ST.
City: TAMPA State: FL
City: State:
Zip: 33609 Phone812-374-2403
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.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF S-7, C.0 c 1'Q
COUNTY OF S r, Lat ► E
Sworn (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this Z ( day of 7iiMw A-" 2021 by
Physical Presence or Online Notarization
this Zf day of ?!1 NNAAy 202d by
MAT7HEw "AXW--$
MATTHeyi MA%AGS
Name of person making statement.
Name of person making statement.
Personally Known ____-OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced f�
Produced_
(Signature of Notary Public- Stat k idg I PUBLIC
TE OF FLORIDA
Commission No. ori`xrsMGG973640
Easplrea 3/2812024
(Signature of Notary Public- State oaf rida�UTH HOLMAN
NOTARY PUBLIC
Commission No. EOFFLORIDA
omr * GG973640
Carea 31,261*20'74
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