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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: lSCANNED Permit Number: \ BY ®f Lucie CoLlri%y� Building Permit Application JOIN 2 201� Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 BY ....... ............. Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x PERMIT APPLICATION FOR: Aluminum without concrete PROPOSED IMPRCi1/EMENT LQ�CATIQN.e ti$ Address: 5211 Myrtle Drive Ft. Pierce, FL 34982 Legal Description: INDIAN RIVER ESTATES UNIT 07 - BLK 48 LOT 38, (MAP 34/02S) (OR 1337-580: 1431-2907: 1434-1802) Property Tax ID #: 3402-608-0294-000-6 Site Plan Name: Project Name: Setbacks Front Back: T?* Right Side: Left Side: ��•�� New Aluminum Framing on existing concrete. 11HVAC 11 Electric ❑ Plumbing Sprinklers1:1 Roof pitch Total Sq. Ft of Construction: C �f 7 Sq. of First Floor: _ Cost of Construction: $ (/J� � Utilities: I _1 Sewer E] Septic Building Height: Lot No. Block No. "Shutters Generator QWindows/Doors Roof OWNER/LES4. SEE ,x5 CONTRACTORk �b� Name Richard Kremkau Name: GaryWhigham Company: South Florida Aluminum Products Address: 5211 Myrtle Drive City: Fort Pierce State: FL Address: 4807 So US HWY 1 City: Ft. Pierce State: FL Zip Code: 34982 Fax: Phone No. Zip Code: 34982 Fax: 772-466-1074 E-Mail: Phone No. 772-466-0913 Fill in fee simple Title Holder on next page ( if different E-Mail: sfapbooks@soflalum.com from the Owner listed above) State or County License: CRC1330712 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _ Not Applicable Name!5;0,n6o4_5; ene. Address:j,3(.30 ID I -- City: G+ Iy_ra,cfa�t� �. State: L Zip: _3 3.7 & o Phone.) 7 - 53a - �r b FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Not Applicable Name: Address: City: 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 propert a of Commencement must be recor and posted on the jobsite before the first insp6r� you inten to obtain financing, consult a Itorney before commencinE work, ordinls vour otce of Commencement.,.-') Signature of Owne Lesse ractor as Agent for Owner Signature of Contradfeqlki5fise Holder STATE OF FLORIDA L STATE OF FLORIDA COUNTY OF �_ COUNTY OF _6, vim', y ej •� The forgo'n instrument was cknowledged before me sG The forg&g instrument was acknowledged before me this � day A) 20 f7 by this�y of I� 20� by of j)_0_1 ► 46".y IF Name of p rson aking statement Narfie of persq;wrnaking statement Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced 1�2_ Produced '4Z (Signature oar Public- State of Florida) , (Signature a Public- State of Florida ) r:., Commissi rrj$ ' , MARY ANN M IYTI MISSION # FF953138 MARY Commissio 1J�o. '= ANN M/ � TI MMISSION # FF953138 ?h;�• ; EXPIRES January 24. 2020 EXPIRES January 24. 2020 „II I�r•r',. aril .IVll:f:::(HI' '. I:lVIG(: ::(NI' REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 N \