HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application NOVPlanning and Development Services N 2 0 2017
Building and Code Regulation Division PER"lill'TING
2300 Virginia Avenue, Fort Pierce FL 34982 St! Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
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PERMIT APPLICATION FOR: Aluminum without concrete
'PRO,PQSED,IMPROVEMENT LOCATION
Address: 5108 Birch Drive Fort Pierce, FL 34982 it
Legal Description: INDIAN RIVER ESTATES UNIT 07 BLK 51 LOTS 4 AND 5(MAPj 34/02S) (OR 3299-2175,2176:3760-547;
3795-484)
Property Tax ID#: 3402-608-0398-000-5 Lot No.
Site Plan Name: Block No.
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Project Name:
Setbacks Front M A Back: N?•i;1 Right Side: S1 Left Side: qd -1 T'
DETAILED DESCRIPTIOWOF U1%ORK l �
Replacement of screen room on existing slab
CQNSTRUCTION INFORI WIQN l E rry
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Additional work to be nertormed under this permit—check all apply: I
❑HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
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❑Electric ❑_Plumbing ❑Sprinklers ❑Generator) ❑ Roof Roof pitch
Total Sq. Ft of Construction: �t'g SF S . Ft. of First Floor: ,
�� ❑Cost of Construction:$ �l.,�oo Utilities: _Sewer Septic Bu 11 ilding Height:
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FOWNER/LESSEE ` q 5. CONTRACTOR;
:.. , . a
Name Tatyana Flewwellin Name: Gary Whigham
Address:5108 Birch Drive Company: South(Florida Aluminum Products
City: Fort Pierce State:FL Address: 4807 So US Hwy 1
Zip Code: 34982 Fax: City: Fort Pierce i State:FL
Phone No. Zip Code: 34982 I )Fax: 772-466-1074
E-Mail: Phone No. 772-466-0913
Fill in fee simple Title Holder on next page(if different E-Mail: sfapbooks@soflalum.com
from the Owner listed above) State or County License: CRC1330712
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPFLEMENTALCONSTRUCT,ION LIEN LAW INFORMATION `
Y .
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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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 perjmit 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,inl all respects,p 11 erform 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, g p g r swimming pools,fences walls signs,screen rooms and accessory uses to anoth er non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement ma result in your paying twice for
improve is to our property. A Notice of Commencement must cord d and posted on the jobsite
befor he f st' section. If you intend to obtain financing, con t ith lend r or an attorney before
com encin ork r recording our Notice of Commenceme
Si of ee/Contractor as Agent for Owner Signature o e Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF-6 - /-V C,/,-P COUNTY OF S
The forgo�Ing instrument was cknowledged before me The forgoing instrument was acknowledged before me
this 1"�dayof. A)13)'0M�,PiI 20J')by this 17 `'*day of 20/7 by
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C-km-y c t ►-y-" mac( 6 �C' w.
Name of person king statement Name of person Ing statement
Personally Known�OR Produced Identification Personally Known OR Produced Identification
e of Identification Type of Identification
T YP
YP
Produced Produced
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(Sig a ot �li8ltp�gp}fFj) (Signatur of -S-at6l of Florida)
MY COMMISSION 4 FF953?8 :;t;��i �y: MART ANN JT NTI
Com 1�1. FXp1Ace ea) Commission N
y 24.20 U MISSION tt FF 53138
:.G!�;f4ti 0'S3 FlorNaNn;.•vScrvu.c aNr ••.i?. • EXPIRES
.w� IRES Jan:ary 24,2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SE TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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