HomeMy WebLinkAboutBUILDING PERMIT APPLICATION4
ALL APPLICABLE INFO MUST BE COMPLETED -fOR APPLICATION TO BE ACCEPTED
Date: December 20, 2017 'I PermitNumbe.r:— L
RE ED
Building Permit Application 0*
Planning and Development Services DEC 2 0 2817
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT -LOCATION:
Address.. 3404 Red Tailed Hawk Dr., Port Saint Lucie, FL 34952
Legal Description: Install Screened Enclosure to Open Patio
Property Tax lD#: 7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side". Left Side:
DETAILED DESCRIPTION OF WORK-.,
Install Screened Enclosure to Open Patio
Y
CONSTRUCTION INFORMATION:
AUU1110nd1W0FK100e e1RJ11F1t!U WiLlUt L111bJJt:!11F11E—U1r_,L!r,.d !1.'FJa�j111JP1Y-,
F]HVAC Gas Tank OGas Piping:; 1—J'Shutters Windows/bcioirs
Electric 0 Plumbing Sprinklers 'E]Generator Roof Roof pitch
Total Sq. Ft of Construction: S q. Ft.'of Floor: f First —
Cost of Construction: 2_000- � Utilities: LiSewer ESeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Herman Schmidt
Name: Owner/Builder
Company:
Address: 3404 Red Tailed Hawk Dr.
City: Port Saint Lucie State:FL
Address:
Zip Code: 34952 Fax:
City: State:
Phone No.772-621-4503
Zip Code: Fax:
E-Mail: schmidthw35@yahoo.com
Phone No.
Fill in fee simple Title Holder on next page (if different
E-Mail:
from the Owner listed above)
State or County License:
If value of construction is $Z5W or more, a RECORDED Notice of Commencement is required.
U
ri
A-W
II '•
.SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
,
DESIGNER/ENGINEER: I Not Applicable
Name: Ham S&rnid I
Address: 3404 Red Tailed Hawk Dr. PortSaint Lucfe, FL 34952
MORTGAGE COMPANY: _ Not Applicable
Name: owner/Builder -
Address: 3404 Red Taied Hawk Dr.
City: PonSaWLucie I State:
Zip: Phone I
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: I Not Applicable
Name: I
Address: I
City:
Zip: Phone:- I
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDV I: 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 represer
which is in conflict with any applica
structure. Please consult with your
In consideration of the granting of this i
in accordance with the approved plans,
The following building permit applicatic
accessory structures, swimming pools, I
WARNING TO OWNER: Your failu
improvements to your property.
before the first inspection. If you
commencing work or recording y
that is granting a permit will authorize the permit holder to build the subject structure
me Owners Association rules, bylaws or and covenants that may restrict or prohibit such
Owners Association and review your deed for any restrictions which may apply.
guested permit, I do hereby agree that I will, in all respects, perform the work
e Florida Building Codes and St. Lucie County Amendments.
V
are exempt from undergoing a -full concurrency review: room additions,
ces, walls, signs, screen rooms and accessory uses to another non-residential use
to Record a Notice of Commencement may result in your paying twice for
Notice of Commencement_must be recorded and posted on the jobsite
tend to obtain financing, consult with lender or an attorney before
Ir Notice of Commencement.
ignafdesof dk4her/ Lessee/Contractor as Agent for
ignature of Contractor/License Holder
STATE OF FLORIDA
-o
``"f'`
TATE OF FLORIDA,
COUNTY OF
OUNTY OF
a m<
The forgoing instrument was acknowledged before m
�o
a forgoing instrument was acknowledged before me
thisQ day of �L' - 2d // by
2 mr-
is _ day of 20_ by
is Nin
Name of person making statement
Name of person making statement
Personally own OR Produced Identification. 23=�
rsonally Known OR Produced Identification
lIdenti
r
Type of Ident' ion
�N
a of Identification
Produced - A
duced
(Signature of N t ry Pu lic- State of Florii a) U
(Signature of Notary Public- State of Florida )
Commission No. Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONINGI
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEWI
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
'S?
RECEIVED
I
DATE
,
-
COMPLETED
Rev. 8/2/17
NN