HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XXX
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1SS3 Fax:1772)462-1S78
PERMIT APPLICATION FOR'. Screen Porches
PROPOSED IMPROVEMENT LOCATION:
Address: 143 PEPPER Ltd
Property Tax ID#: 4511-503-0012-000-2 Lot No.
Site Plan Name: BAY TREE LOT 6 Block No.
Project Name: Ribando Screen
DETAILED DESCRIPTION OF WORK:
Screen Walls-existing 1st Floor porch
Screen Walls with railing-existing 2nd floor porch
New Electrical Meter Second Electrical Meter
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 Sprinkiers _Generator Roof Pitch
Total Sq. Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 8850.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Michaal Ribando Namc:•1nna1han Starratt
Address: 143 PEPPER LN Company:White Aluminum
City: Jensen Beach State: Address:2933 SE Gran Parkway
Zip Code: 34957 Fax: City: Stuart State:Fl.
Phone No.631-766-0781 Zip Code: 34997 Fax:
E-Mail:mdbando@approvedfireprevention.com Phone No 772-692-0090
Fill in fee simple Title Holder on next page(if different E-Mail astaples@whilealuminum.com
from the Owner listed above) State or County License CGC 1523855
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:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name:Seaside Engme mfEdwazl Rorke Name:
Address:4265CaVh Ct Address:
City: Veto Beach State: FL City: State:
Zip. 72967 Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: x 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 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 fender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Own r/Les a/Contractor as Agent for Owner Signature of Can acto icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF— COUNTY OF�u.n�n
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
x Physical Pr71aw
ne Notarization x Physical Pr nce or Online Notarization
thisW day of2024 by thisdayof 7 � t� 2024 by
JDwihan stamlt Jonathan Siamll
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Pr uced I Produced
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( ig ature o tary Public-State of Florl ) I(Inature f Notary u hc.State,gf- grid&. ^- ^Commission Na. CG23s'lo2 �,.era (5eal)y i h,�stab of F onIsslon No. cG235102 (Seal)
a Angela Staples : .
h4y rornrn 6Slan r;G 27510 �,,
REVIEWS FRONT qO4A4VV1l R LANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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RECEIVED
DATE
COMPLETED
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