HomeMy WebLinkAboutBuilding Permit ApplicationDate: s i,
Permit Number:
RECMM
MAY 191011
Building Permit Application
Planning and Development Services Permitting Departmeet
St. Lucie County
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:
-PROPOSED IMPROVEMENT LOCATION: -
Address: 7206 PacificAve Fort Pierce FI 34951
Property Tax ID #: 1301-613-0188-000-0 Lot No. 1 Site Plan Name:
Construct new screen room with 3" insulated roof over existing concrete slab
New Electrical Meter Second Electrical Meter
I
Block No. 146 Project Name:
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: 210 Sq. Ft. of First Floor:
Cost of Construction: $ 5,000 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE: n CONTRACTOR:
ity: 4 lQri'Q State:FlAddress:
782 SE Arton Ln Zip: 34983 Code:
ip: WCl5�(
City: Port St lucie_ State: Fl
hone No. Yren <5 72 31'-tr
Phone: 772-708-8130
E-mail: Cck i t �011 Y�%ucf,(owl
J�
E-Mail: southernscreensolutions@Pmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above) State or County
License i a��
IME"7491.0 0
01111111111,
NDo
�.•• NOTq'•. L
•My
(Sign atur lotary Public- State of Florida) ! W ; No OS, ?�rft
�1. y/y
406120
Commission No. acl (Seal) o���'•A LIC .••P ``�
FLO��p``�.
PLANS VEGETATION SEA TURTLE MANGROVE REVIEW
REVIEW REVIEW REVIEW
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:
x
i'laNic. ZV 7-L-i761Ti�C�-��-�
Address:5601 Mariner St Address:
City: Tampa State: Florida
City: State:
ip: 33609 Phone: 813-374-2403
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _x_ Not Applicable
BONDING COMPANY: x_Not Applicable
Name:
Name:
Address:
Address:
City:City:
Zip: Phone:
Zip: Phone:
�WNER/ CONTRACTOR AFFIDVIT: Application is hereby m
de to obtain a permit to do the work and installation as indicated.
i cerury inat no worrc or instaiiation nas commenceu prior to Erie issuance or 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
+kc &Ag-i+h kofnro tko firc+ incnortinn Ifvni i intonrl to nkt:)in finnnrina —
mme 'ng work or recording your Notice of Comme
cement.
REVIEWS FRONT ZONING SUPERVISOR COUNTER
REVIEW REVIEW DATE
Si ure of Owner/ Lessee/Contractor as Agent for Owner
RECEIVED
STATE OF FLORIDA
%Gd�/�%�
DATE
COUNTY OF
COMPLETED
Swor c (or affirmed) and subscribed before me of
Rev. 5/6 0
Physical Presence or Online Notarization this
r dday of i 2020 by c�11'JX_ Rg14k�
Sig
tur C tractor/License Holder
S E OF FLORIDA
Name of person making statement.
COUNTY OF L oc'j e
Personally Known OR Pro;y$01,9 d iti ttiq ;
\ ff``�� u r�
Sworn to (or affirmed) and subscribed before me of
Type of Identification �\ Q.�........... R�L�i
���%NO7.g:�'�
Ph sical Presence or * Online Notarization this
Produced
qz �=
day of 1rnd,y 200 by
,►n@ S Re ��
Y Corn
ow m. e.., —
tpcV Fppb°c °j 06
H•
Hq4 :
A •�
No. f�l�j� �.A'l
Name of person making statement.
o ssion eal
• V �•—
VcN
�� O •••....
�� F F
����/
•• \\�
�� \\
`
Type of I
: •
tification ;
red #$df6
"You"•: Pubt
°�r; Notary
X HH 086352025
opires an 28,
f f { {
Produced
Commiss
ational Notary Assn.
Bonded