HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
�JQ�q �H t u �,., RECEIVED JUL 312017
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Aluminum without concrete �r�n,5�riEl
Address: 5404 CITRUS AVE, FT PIERCE FL.34982
Legal Description: J A SMITH'S S/D LOTS 1,2,6,8,10 AND 12
Property Tax ID #: 3404-805-0001-000-7
Site Plan Name:
Project Name:
Setbacks FronBack: )�a•gj Right Side: a LeftSide: /S. /g
Lot No.1,2,6,8,10,12
Block No.
INSTALL AN 8 FT X 27 FT X 9 FT HIGH WALL SCREEN ROOM ON THE EXISTING CEMENT DECK
❑HVAC ❑Gas Tank
❑ Electric ❑ Plumbing
Total Sq. Ft of Construction: 216
Cost of Construction: $ 2475.00
..,.,.. -rr.y.
oGr
as Piping _Shutters
❑Sprinklers ❑ Generator
S Ft. of First Floor: _
Utilities: Sewer ❑Septic
Windows/Doors
❑ Roof Roof pitch
Building Height:
tWER/E5SE, �s
Mg
9 CaNTR,yAC.T„.3£R.A
NamePETER HAUPT
Name: VAUGHN HOSKINS
Address:5404 CITRUS AVE.
Company: V H EXTERIORSINC
Address: 543 NW WAVERLY CIRCLE
City: FT PIERCE State: FL.
Zip Code: 34982 Fax:
City: PORT ST. LUCIE State: FL.
Phone No.772-528-9389
Zip Code: 34983 Fax: 772-871-2567
E-Mail:
Phone No. 772-871-6484
E-Mail: vhexteriorsinc@gmail.com
Fill in fee simple Title Holder on next page ( if different
State or County License: 21579
from the Owner listed above)
It value of construction is SZ5UU or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name: ` E3 �,� Bch `t >n ,C4 '' G-e
Address: V11j,%M%tA 1It D
City: L&AAr State: FL.
Zip: 3 1 F.%NM Phone: 931-915-1515
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: XX Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City: -
Zip: Phone:
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 concurrericy review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessoy uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to 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
commencing work or.recording vour Notice of Commencement.
Signat a of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF -LUCIE COUNTY OF
The forgoing instrument was acknowledged before me -
this 3o day of SNA4 20 �') by
(Name of person acknowledging) ;
(Si a ure of Notary Public- State of Florida) ;
Personally Known OR Produced Identification
Type of Identification Prod ed
+�►8�'r1,. ,1EAAy��RALPH GACHETTE
Commission No. (� .. ;F: C1�$g®MMISSIONUFF152261
!
'�•., a EXPIRES: August 18, 2018.
Bonded Thru Notary Publk Undewriten
Revised 07/15/2014
The forgoing instrument was acknowledged before me
this _3'0 day of Z5V 1W 20 L by
V Av�#h6i 904' us
(Name of person acknowledging)
�j �NJI1
(Sig ature of Notary
, Public- State of Florida )
Personally Knowny OR Produced Identification
Type of Identification Produced ti
Commission No. 1 ��i'G��,Y�....(.,;o},wn•E.
k4y COMMISSIOP; `FF 157sr t
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