HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE IN B O MU?T LETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number:
t -Building Permit Application MAY-' 2 2017
Planning and Development Services Public Works
Building and Code Regulation Division "t. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Aluminum with concrete
RROP6SEDIMPROVEM ENT-LOCATION:
Address: 4995 DEANNA LN. FORT PIERCE FL. 34946
Legal Description: GREEN ACRES - UNIT 3- BILK 1 LOTS 3 AND 4 ( OR 308-1373-;1776-1599)
Property Tax ID#: 1430-702-0003-000-0 Lot No.3 &4
Site Plan Name: Block No. 1
Project Name:
Setbacks Front30.' 03" Back: 40'06' Right Side: Left Side:
DETAILED',PESC-RI.PTION'CYFz WORK
':,
INSTALL 6' 6" X 24' OPEN PATIO COVER WITH CONCRETE FOOTING
CO;N FORMATION:
Additional work to be nertormed under this permit—check all apply:
HVAC EiGas Tank []Gas Piping Shutters L]Win'dows/Doors
Electric ElPlumbing OSprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft of First Floor:
Cost of Construction:$ 4860.00 Utilities:Sewer[]Septic Building Height:
CONTRACTOR:;10 N' R LtSS t.
"E
NameTERRENCE MILLS Name: MATTHEW MARKS
Address:4995 DEANNA LN. Company: EAST COAST ALUM
City: FORT PIERCE State:FL Address: 913 EDWARDS RD
Zip Code: 34946 Fax: City: FORT PIERCE State:FL
Phone No.772-461-4657 Zip Code: 34982 Fax: 772-464-7603
E-Mail: Phone No. 772-464-7600
Fill in fee simple Title Holder on next page if different E-Mail: ECAPINC@HOTMAIL.COM
from the Owner listed above) State or County License: 24526
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CO'NSTRU' „?ION;LI'E=N LAW INFORMATION:
_a M _ r
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: SLINCOAST ENGINEERING Name:
Address:13630 58TH ST.N.#101 Address:
City: CLEARWATER State: FL City: State:
Zip: 33760 Phone: 727-532-9000 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded 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 ST. Lutl E COUNTY OF 3T. Luc 1 f;
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this if'- day of MAY 201-7 by this L day of&A Y 20 Z by
41 AVVEN MAC-ks �l�J�`rffEw Mxlkks
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Prod LIP
pe of Identification Produced
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x wwo0�Iyy ,moo ?ems ary Public-State o1 FI a
Commission No. Q�I, s mmission No.
bl�s � ommissloif P FF 9132--o11Qnd 6ieloN 's�,on `d* � ope My Comm.Expires Sep 20, 19
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1111
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Revised 07/15/2014 �,rf
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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