HomeMy WebLinkAboutSLC Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 311 /2022
Permit Number:
c _ , Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: Shade Sail Canopy
PROPOSED IMPROVEMENT LOCATION: Children's Advocacy Center
Address: 8555 S Commerce Centre Dr. Port St. Lucie, FL 34986
Property Tax ID #: 3327-805-0001-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Children's Advocacy Center Shade Canopy
DETAILED DESCRIPTION OF WORK:
Installing 2 commercial grade shade sails supported by three steel columns to be pier mounted
on concrete footings.
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
Electric — Plumbing _ Sprinklers
Total Sq. Ft of Construction: 1 100
Cost of Construction: $ 28,380.0
(Affidavit required)
Generator
Sq. Ft. of First Floor:
Windows/Doors Pond
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Guardians For New Futures
Name: Theodore Willems
Address: 8561 S Commerce Centre Dr.
Company: Don Willems Builder, Inc.
City: Port St. Lucie State: FL
Zip Code: 34986 Fax:
Phone No. 772-359-2824 E-
Address: 405 S 40th Ct.
City: Ft. Fierce State: FL
Zip Code: 34947 Fax:
Phone No 772-519-0167
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail martyatdonwillemsbuilder@comcast.net
State or County License CGC1504958
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: Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name: Benchmark Engineering
Name:
Address: 806 Delaware Ave.
Address:
City: Ft. Pierce State: FL
City: State:
Zip: 34950 Phone 772-460-7751
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
V VV IY[K/ c.VIV I KM[ I UK All-FIUVI I : Application is hereby made to obtain a permit to do the work and installation as indicated.
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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 commencin work or recordina vour Notice of Commencement
Signature of Contractor - or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OFya
Sworn to (or affirm d) and subscribed before me of
Physical Presence or Online Notarization
this "day of 20,?aby
Name of person making statement.
Personally Known _X OR Produced Identification
Type of Identification Produced
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