HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE MU T BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: Q
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Building Permit Application AUG ���7
Planning and Development Services
Building and Code Regulation Division pudic Works
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie county,, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Aluminum without concrete
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Address: 17800 WAGONWHEEL LANE
Legal Description.. CARLTON COUNTRY ESTATES
PB 46-29, LOT 5, 5.187AC, 3321-1773
Property Tax ID #: 3211-701-0007-000-8
Site Plan Name: BELL
Project Name:
Setbacks Front Back: / J Right Si
Left Side: �0 D
Lot No.5
Block No.
INSTALL A NEW ALUMINUM SCREEN ENCLOSURE ON THE NEW CEMENT POOL DECK.
1:1HVAC LJ Gas Tank
11 Electric 1:1 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 8800.00
MGa*s'P*iping`
_ Shutters
Sprinklers I Generator
Sq. Ft. of First Floor: _
Utilities: 0Sewer 0Septic
QWindows/Doors
Roof Roof pitch
Building Height:
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NameDAVID BELL
Name: VAUGHN HOSKINS
Company: V H EXTERIORS INC
Address:17800 WAGONWHEEL LANE
City: FT. PIERCE State:FL
Address: 543 NW WAVERLY CIR.
Zip Code: 34987 Fax:
City: PORT ST. LUCIE State: FL.
Phone No.
Zip Code: 34983 Fax: 772-871-2567
E-Mail: BELLFISH71@GMAIL.COM
Phone No. 772-871-6484
Fill in fee simple Title Holder on next page (if different
E-Mail: VHEXTERIORSINC@GMAIL,COM
State or County License: 21579
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
N(A 4,
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE_COMPANY: Not Applicable
Name: DAVID BELL Name:
Address:17800 WAGONWHEEL LANE Address:
City: FT. PIERCE State: City: ' State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:543 NW WAVERLY CIR.
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 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 an attorney before
cpkimencing work or recording our Notice of Comme cemlent.
Signature of Ov)nlkiLessee/Contracto—r"&&Agent for Owner
Signature of Con acto License Holde
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Sf r-
COUNTY OF ----
The forgoing instrument was acknowledged before me
this ,%ri day of 20)2 by
The forgoing instrument was acknowledged before me
this _�O_ day of20 11 by
\p�1��►
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"Name of person making statement
Personally Known OR Produced Identification
Name of erson making statement
Personally Known OR Produced Identification
Type of Identification ,,,�
S�Ati� t JEAN RALPH GACHETTE
Produced ` ISSION# FF 152261
1 or EXPIRES. August 18, 2016
Bcndad TDm Wary PA; Undeowdlers
Type of Identific,;�,
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Produced �Sp6�BBIJ�
l9ZdSl d� # NOISSIWWOO AN "• '_
3113HCHJ Hd IVFi NV3(
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
Commission No'. 9 S 22 V ( (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
(
I$
DATE
COMPLETED
Rev. 8/2/17