HomeMy WebLinkAboutBUILDING PERMIT APPLICATION`t
ALL APPLICABLE IN O2 MUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED /t
Date: J - 1 iPermit Number: 1)(06-1 0240
CE�11 V E D
Building Permit Application MAY 3 0 2017
Planning and Development Services Public 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
El-
'PRQPOSEP IMPROVEMENT LOCATION.,"
Address: 5732 STERLING LAKES DR
Legal Description: PORTOFINO SHORES PHASE TWO LOT 409
Property Tax ID #: 131250201590001
Site Plan Name:
Project Name: A -,'—
Lot No.409
Block No.
Setbacks Fro 64 Back: 26.55 Right Side: 8.11 Left Side:
FORM & POUR APPROX 52 LF OF PERIMETER FOOTINGS, BUILD AN ALUMINUM SCREEN
ROOM 14 FT X 27 FT
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CONSTRUCTION INFORMATION
a y ,:r.,r r a.-i "'y_ a _ '�ayw•ra. a , ems. p. .:,5?, ❑ r._:a sr a,vr ��:cn�
Add itional work to be pertorme under this permit — checR
11HVAC Gas Tank ❑Gas Piping
all apply:
Shutters
❑ Windows/Doors
_
11 Electric 0 Plumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction: 378
Sq� FFtt.I of First Floor:
O
Cost of Construction: $ 14527.00
Utilities:
Sewer Septic
Building Height: 10
'OWNER/LESSEE:.
CONTRACTOR: .
Name DAVID & DIANE THOMPSON
Name: CLIFFORD WELLS
Company: TREASURE COAST HOME IMPROVEMENTS, INC
Address:410 GOLDMINE RD
City: SELLERILLE State: PA
Address: 873 SW CALIFORNIA BLVD
Zip Code: 18960 Fax:
City: PORT ST LUCIE State: FL
Phone No.215-872-3535
Zip Code: 34953 Fax: 772-673-3783
E-Mail:
Phone No. 772-263-9287
Fill in fee simple Title Holder on next page ( if different
E-Mail: cliffw5050@gmail.com
State or County License: CRC057901
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: TamowskiEngineering ine
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 7360 nw 5th st
City: plantation State: n
Zip: 33317 Phone: 954-727-2027
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
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 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.
Signature w er/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA L
COUNTY OF da
The fgtgoing instr ment was acknowledged before me
this ay of " 20 5y
(Name of person acknowledging)
(Signature of Not r u
,""'Al
Personally Known .10
Tyke nld scat r
DNA
Commission No. °''°
Revised 07/15/2014
LA
My Comm. Expires May 27, 2019
Bonded throu650dilinal Notary Assn.
Signature U-0)r,
tractor/License Holder
STATE OF FLORIDA Q
COUNTY OF <7� L I
The forgoing instrumienj was acknowledgefl ore me
this,�day of 20 I y
(Name of person acknowledging)
(Si na Public -State of Florida )
Personally Known ,,ro c d4d ' *. a ion
Type of Identificatio ANGE
arY =.4 * Com Public -State of Florida
Commission No. =9, oPc M m(9ly/ FF 234730
FFl Y Comm, Expires Ma
Bonded through Ai.—
Y 27, 2019
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