HomeMy WebLinkAboutBuilding Permit ApplicationI I II II
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DESIGN:/ENGINEER:
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NotApiicaIe RGAGECOMPANY:
.tpplicableName:Name:
Address:
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Address:City:State:City:State:Zip:Phone Zip:Phone:
FEE SIMPLE TITLE HOLDER:_7§_Not Applicable BONDING COMPANY:_x_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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structurewhichisinconictwithanyapplicableHomeOwnersAssociationrules,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,
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do hereby agree that
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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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‘ZZ4
Commission No.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.5/6/20
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Signatu?e~ef-Ownefl Lessee/Contractor as Agent for Owner Sign Holder
\'STATE OF FLORIDA \STATE OF FLOR§Ig[\
COUNTY or 46*’Luge
COUNTY OF .‘Cele/6’
Sworn to (or affirmed)and subscribed before me of Swo n to (or affirmed)and subscribed before me of‘_'f Physical Presence or Online Notarization Ph sical Presence or Online Notariz ‘on
this gvday of r ,2o2<z)by this /’day of ma/C7?,2o2fr b®
Name of perso aking statement.'‘Name of person making statement.
Personally Known OR Produced Identification E Personally Known OR Produced Identification 3‘Type of Ident''ation _Type of Identification
produced §<2I“>but;-«J-<Produced DCIVC/S 4%fig’
(Signature of Notary Public-State of
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ANGELINE GIROUX-oosrgn ure of N PubIic~State 9 .5 m m
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.mes.I ssion No.5 .$°e‘al)My Comm.EXPl'“'*‘V7»13
AII APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit ApplicationPlanningandDevelopmentServices
Building and Code Regulation Division Commercial Residential X g2300VirginiaAvenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:aluminum endosure
Address;470 woodcrest drive
property Tax ID #:2308-501-0024-000-3 Lot No_1 1
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Site Plan Name:°'a"9e Park Block No.b
project Name;timothy Buxton
Building a screen room with insulated roof on existing slab 8'x 22'
New Electrical Meter Second Electrical Meter
I Additional work to be performed under this permit -check all that apply:
_Mechanica|__Gas Tank
_
Gas Piping
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Shutters
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Windows/Doors
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Pond
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Electric
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Plumbing
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Sprinklers __Generator
_
Roof Pitch
Total Sq.Ft of Construction:176 Sq.Ft.of First Floor:176I
Cost of Construction:5 1300 Utilities:
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Sewer
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Septic Building Height:7'
Name ’
__in!Name:Ra)’Edwards
u Address:/I;«K company:Affordable Screen Rooms Co.
City:Q\QJ‘Q)..State:E,Address:313 NW AU’°'a Street
Zip Code:’§\Ir§I'\S Fax:City:P0”Sail“I-“°Ie State:FI-
Phone No.33 L Q2,_Q,K-!‘f‘?S Zip Code:34983 Fax:
"E-Mail:\‘0\.\A Q Pr-SQ C..\3S Phone No 772 6264495
Fill in fee simple Title Holder on next page (if different E-Mail "aY@a5'°-U5
from the Owner listed above)State or County License 29113
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.