HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICAB E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: Dca =CG
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Building Permit Application MAY 3 0 2017
Planning and Development Services Puia:ic Works
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 IMPROVEMENT LOCATION:
Address: 6301 SPRING LAKE TER, FT PIERCE, FL 34951
Legal Description: PORTOFINO SHORES- PHASE THREE LOT 350
Property Tax ID #: 131250301230003
Site Plan Name:
Project Name: 0 C
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c
Setbacks Fro Ba Right Side: 6.00 Left
DETAILED DESCRIPTION OF WORK:
Lot No.350
Block No.
FORM & POUR A 12' X 28 FT CONCRETE SLAB, BUILD AN ALUMINUM SCREEN ROOM ON THE
NEW CONCRETE SLAB 11
CONSTRUCTION INFORMATION:
Additional work t0 e e orme under this permit —check
IIHVAC E] Gas Tank Gas Piping
a
apply:
Shutters
Q Windows/Doors
_
Electric 0 Plumbing
[]Sprinklers
Generator
r_1 Roof Roof pitch
Total Sq. Ft of Construction: 14000
Sq. Ft. of First Floor:
E]
Cost of Construction: $
Utilities:
Sewer
Septic
Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name ALIX CLAUDE ( Q
Name: CLIFFORD WELLS
Company: TREASURE COAST HOME IMPROVEMENTS, INC
Address: 873 SW CALIFORNIA BLVD
Address: 6301 SPRING LAKE TER,
City: FORT PIERCE State:FL
Zip Code: 34951 Fax:
Phone No.847-691-6186
E-Mail:
City: PORT ST LUCIE State: FL
Zip Code: 34953 Fax: 7726733783
Phone No. 7722639287
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
of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION-
DESIGNER/ENGINEER: _ Not Applicable
Name: TARNOWSKI ENGINEERING
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress: 7360C NW 5TH ST
Address:
City: State:
Zip: Phone:
City: PLANTATION State: FL
Zip: 33317 Phone:9-14-727-2027
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
City:
Zip: Phone:
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 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 vour Notice of Commencement.
U'!�" V'-L�
Signatu tty,
wner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrurpept was
th isay of C'U
(Name of person acknowledging)
of
Commissio
Revised 07/15/2014
20
ANGELA
s
Signature of n racto /License Holder
STATE OF FLORIDA
COUNTY OF L,C SAC_
me The forgoing instrument was acknowledgMby
fore me
this y of 20
LIS
(Name of person acknowledging)
(A M ruLkLt t
My Comm. Expires May 27.2019
Bonded through Natiol(ii♦4>
of No*y Public- State of Florida )
OR Produced Identification
OgPRV P�;"" ANGELA M HUFF
Commission N .� r4 ;° c Notary Public - "&MFlorida
eurnmission # FF 234730
My Comm. Expires May 27, 2019
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DATE
31 1
COMPLETE
INITIALS