HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r1
Date: Permit Number: I OL` 0 Ono
EVER
Building Permit Application DEC 0 5 2017
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR:
Aluminum with concrete
PROPOSED IMP.ROVEMENT.LOCAT.I.ON ;.__
Address: 7988 Plantation Lakes Dr, Port St Lucie, FL 34986
Legal Description: Reserve Plantation Phase IIA Lot 18, 7988 Plantion Lakes Dr
Property Tax ID #: 332180300240004 Lot No.18
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:all
DETAILED DESCRIPTION OF WORK:
remove 14x14 concrete deck, remove the entire existing screen enclosure, enlarge removed concrete
deck to 20X22, rebuild a new screen enclosure approx 36x40L shaped
CONSTRUCTION INFORMATION:
Additional work to jbe nertormed under this permit— check
1]HVAC LJ Gas Tank ❑Gas Piping
a
apply:
_ Shutters
❑ Windows/Doors
Electric ElPlumbing
Sprinklers
❑ Generator
❑ Roof Roof pitch
Total Sq. Ft of Construction:
S . Ft. of First Floor:
Cost of Construction: $ 21000.00
Utilities: Sewer Septic
Building Height:
:OWNER/LESSEE:
CONTRACTOR:.
NameJoseph Hirsch
Address: 7988 Plantation Lakes Dr
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone No.443-463-2521
E-Mail:
Name: Clifford wells
Company: Treasure Coast Home Improvements, Inc
Address: 873 SW California Blvd
City: Port St Lucie State: FL
Zip Code: 34953 Fax: 772-673-3783
Phone No. 772-263-9287
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: CLIFFW5050@GMAIL.COM
State or County License: CRC057901
it value of construction is S2500 or more, a RECORDED Notice of Commencement is required.
' rl
',S'UPPLEMENTAL CONSTRUCTION 0EN ;LAW -1NFORMATIO:N ,
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: South Sun Engineering
Name:
Add ress: 27e5 Tamlaml Trail Suite A
Address:
City: Port Charlotte State: FL
City: State:
Zip:33952 Phone9a1-451r7535
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
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
is in Home Owners Association bylaws
which conflict with any applicable rules, 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 or an attorney before
commencing work or recording our Notice of Commencement.
t�
Signature er/ Lessee/Contractor as Agent for Owner
Signature o C tractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF �a
The for cling instrp, ent was acknowledged before me
this day
The for cling instru Ent was acknowledged before me
this day 20L by
of � 20-0 by
of
Name Werson making statement
Nam erson making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(S i I or, o, al P plie` f
(Signat
`
°taaY �a�� ASHAHNA INGRAM
ti 2 n °� Notary Public -State of Flo(& a
Comm3ssion�
Commi
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'2°� `�1 Notary Public - State of FIQp ida
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ec
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xpire:FF
Commission
es Dec 20` t9g,
"r commission # FF 177249
# 177249
_ Bonded throw h '�
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Bonded through National Notary Assn. '
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17