HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08tl'6/2021 Permit Number:
91F. [Lua I E0-- D
0
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 34 Sovereign Way
PropertyTax ID #: 1414-701-0085-000/5
Site Plan Name: Ledford
Project Name: Screen Enclosure Extenstion
DETAILED DESCRIPTION OF WORK:
Lot No. . P
Block No. 9
Extending the screen enclosure approxemently eight feet from the north
Side of the house.
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 320
Cost of Construction: $
5000.00
Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: -Sewer _Septic Building Height:
OWNER/LESSEE.:.
CONTRACTOR:
Name Ledford, Robert
Name: Owner Builder
Address: 34 Sovereign Way
Company:
Address:
City: Fort Pierce State: Fl
Zip Code: 34949 Fax:
Phone No. 407-383-1452
E-Mail: Rnh(aknot ty mi f f _ rnm
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
City: State:
Zip Code: Fax:
Phone No
E-Mail
State or County License
it 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.
Ank
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Steven M. Sincere PE
MORTGAGE COMPANY: x Not Applicable
Name:
Address: 1867 SW Belarave Terrace
Address:
City: Stuart State: F1
City: State:
Zip: 34997 Phone 772-4g(S-5425
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 lender or an attorney before commencingAork or recording our Notice of Commencement.
ignature of O er/ Lessee/Contractor as Agent for Owner ATHER BUR F of Florida Notary
IlZ=Wob
mission # GG 18STATE OF FLORIDAy Commission ExCOUNTY OF Sc7t lAto L f✓ February 06, 202 e
Sworn to (or affirmed) and subscribed before me of '�4 Physical Presence or Online Notarization
this A` day of A-Q6 U---T 20J-1 by
*T-�o"vbE2i Lt=oE6
Name of person making statement.
Personally Known _V_ OR Produced Identification
Type of Identification Produced
(Signature o otary Public- State of 06rida )
Commission No. �G-9 I3 S 0 (Seal) ip�►�� Notary Public State of Florida
Mary Sue Seng
�r< My Commission GG 923508
tenor Expires 11/13/2023
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 2