HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:Permit Number:
Building Permit ApplicationPlanningandDevelopmentServices
Building and Code Regulation Division Commercial Residential X X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
Address;470 woodcrest drive
Property Tax ID #:2308‘501'0°24'000'3 Lot No.
1 1
Site Plan Name:Orange Park Block No.
I3
Project Name:“m°thY BUXIOTI
Building a screen room with insulated roof on existing slab 8'x 22'
New Electrical Meter Second Electrical Meter
ll
Additional work to be performed under this permit —check all that apply:
_Mechanica|
_
Gas Tank
_
Gas Piping
_
Shutters
_
Windows/Doors
__
Pond
__
Electric
_
Plumbing
_
Sprinklers
_
Generator
__
Roof Pitch
Total Sq.Ft of Construction:176 Sq.Ft.of First Floor:175
Cost of Construction:5 1800 Utilities:
_
Sewer
_
Septic Building Height:7'
Name Name:Ra)’Edwalds
Address;Company;Affordable Screen Rooms Co.
City:State:Address:313 NW A“'°'a Street
Zip Code:Fax:City:P0”Saint Lucie State:F'-
Phone No.Zip Code:34983 Fax:
E-Mail:Phone No 772 6254495
Fill in fee simple Title Holder on next page (if different E-Mail raY@3S"°-U5
from the Owner listed above)State or County License 29118
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.
ESIGE/ENGIEE:
I
I
t IiaeName:Name:
Address:Address:City:State:City:State:Zip:Phone Zip:Phone:
FEE SIMPLE TITLE HOLDER:
$,Not Applicable BONDING COMPANY:_$_Not Applicable
Name:Name:
Address:Address:
City:City:
Zip:Phone:Zip:Phone:
TGAE COMPANY:
.
NotApplicab|e
Jl
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 _Count ‘makes no representationthat is granting a permit will authorize the permit holder to build the subject structurewhichISinconlictwithanyapplicableHomeOwnersAssociationrules,bylaws or and covenants that may restrict or prohibit suchstructure.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 workinaccordancewiththeapprovedplans,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.
STATE OF FLORIDA
COUNTY OF
Signature of Owner/Lessee/Contractor as Agent for Owner
this day of
Personally Known
Type of Identification
Produced
Name of person making statement.
Commission No.
Sworn to (or affirmed)and subscribed before me of
Physical Presence or Online Notarization
.2020 by
OR Produced Identification
(Signature of Notary Public—State of Florida )
(Seal)
::
:
E
:Signatu or icense Holder
STATE OF FLOIEBZA
V
‘
COUNTY or
*
éuc/c‘
Swo n to (or affirmed)and subscribed before me of
Ph sical Presence or Online Notariz 'n
this /’day of ma/C7?,2o2§r b@/Zl;//VwV|C>/
Name of person making statement.
OR Produced Identification 56
érz arr
Personally Known
Type of Identification
Produced DCA/6/S
M ,,Notary Public -State of
Commission if G6 33(Signature of 'N<£av{Public—State 0
Commission No.5
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
MANGROVE
REVIEW
SEA TURTLE
REVIEW
VEGETATION
REVIEW
PLANS
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.5/6/20
Fl Id:6
aI)Ay Comm.Expires May 7,13