HomeMy WebLinkAboutBuilding Permit Application I
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ALl; I AOVPETQFORPPLICT,INTOBEADIAPPA INFO MUST C
Date: PerrnitNumber:
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Bui .,.`'.Penn t;Appl cation
Planning;andi Development Services
ouilding,gnd.Code Regulation Division.
230Q Virinia�,Avenue Fort Pierce FL.34982 '
Phone:,:(-g 7i})
462 1553 Fax: (772)462-157.8 ;Comt71eti-81 ' Residential X
PERIVIITAPPLICATION FOR: Aluminum with concrete
`PR(7POSED`{MPR'OV0ANTIOCAT,{ON ;
Address.7903 WESTMONT DR:iFQRT'PIERCE FL,'34951;
Legal
Description-LAKEWOOp',PARK=UNIT 3.=6LK 22' LOT 2f%(MAP13/115);.(.:OR 403 =.194) 7.903 WESTMONT DR:,
Property Tax ID# 130:1 603=0171 000=7 L26
ot NQ.
Slte:Plan Name:. I I Block No-??
Project Name;
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Setbacks Feont26°;5t)` Back:. .Right Side Left Side: 118
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DETAI,LED DESCRIPTION? -
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Not
POUR A 5' 123' &5'X1'Z SLAB W{TH FOOTER NEXT TO EXISTING SLAB_. B'U I LD A 3 WALL
GLASS ROOM 1:7 X.23
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CONSTRU
_aCTIO,N'INFOR�MATL0.. 's
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+ itiona wqr t0 Ne pertorrnpa un_ert is permtt checkall apply.. I
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�IHVAG 'i �jd. as"Tqhk ❑Gas Piping _Shutters ❑Windows%Doors .
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Electric l El Plumbing �Sp�i,nklers ;Generator Roof :Roof pitch.;
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Total:5q.Ft ofiConstruction:'39:1 S :Ft:of First
'Ffoor: I -
Cost:of Construction:$,
150oQ o0" Utilities: Sewei Septic .Building Height.
bOWNER/LESSEEf �' ', z CONTRACTOR , � '�
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.M:.nxR .ra4d �_ . ti ..•.
Name'EDWAR�MENTZ' Name-
CHARLES DEKKER
I Addr. 790P3I R., CE MONT DR . . CotiS an
�EAT COAST ALUMINUM
FL EDWA '`RD.'Addressy9 S
City FORT,
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"Zi` 'Code '34951 FaXC city,FOR f FIERCE �„ .1 State:FL
70ii803.6890: 34982 1 770-464=7603
Phone No Zip Code Fa :
E-Mail: Phone;No.
71,2-464-7600
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EGAMN= C OT MAIL.COM
FiI[inJee_simple Title Holder on next'page(.if.different E-Mail °C�:
from,the Owner listed above) State or County License: 486
If value of consruction is:$250Gbr�more,•a-RECORDED Notice:of Commencement is required.
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SUP,FLEME,NTAL`CONS.TRUCTION LIEN LAW INFORMATION;
Y_fr
DESIGNER%ENGINEER: _Not Applicable MORTGAGE COMPANY; Not Applicable
Na me:SUNCOASTENGINEERING Name:.
Address:13630.56TH STREET N.#101 .Address:
City: 6LEN2WATER State: FL -City: State-
Zip: 33760 ; Phone727-53z=soo9 Zip:: Phone:
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: I City:.
Zip.: I 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 Vuork or installation has commenced prior to the issuance-of a.permit,
St.Lucie Count makes no representationthat is granting a permit will authorize the `permit holder to build the subjectstructure
whichAs 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-consideratioe wn of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordancith the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit a.ppllcations 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"n your paying twice for
improvement 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
commencin work or recording your Notice-.of Commencement.
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Si at of,Owrier` eeJ ontractor as'Agent for Owner Signature of Co. ctor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF s`T'Lucie COUNTY OF ST Leis c fL
The foringinstrument was acknowledged before me The for1�ng instrument was ackno Iledged before me
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thiW day;of �t oVFHBER 20('7 by this day of /VoPeMVE7L 1,20/7 by;
Name of.pegoon aking statement Name of.person aking'statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type`of Identification Type of Identification:
Produced ! Produced
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(Signature of.Notary<P li .la>g%pf'FloridHOXdALD M.HOLMAN {Signature of NotarylPubll St4,tep, F,Joriaa)'DDNALD M.HOLMA�
,�* oa,
Notary Public•Slate of Flwlda: Notary'Public-•State of i b
Commission No. 014=1)tsfon#FF 913240 Commission No. N.FF 91'
=, •'� My comm.'Expfn"s Sep 20,�,� ,a "•�� n 20,1 , , pleSfp
BodedttrmO'NkalNotary + Crt e
''�°� "•� 6onlfed ! N
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REVIEWS i FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER. REVIEW- REVIEW REVIEW REVIEW :REVIEW REVIEW
DATE
RECEIVED
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DATE
COMPLETED.
Rev.8/2'17 `
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