HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: • I • It Permit Number: I V O VJ
SCANNED
__ • BY RECEIVED
Buildin -�eerm�R Application
Planning and Development Services FEB 01 2018
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Aluminum without concrete
PROPOSED IMPROVEMENT LOCATION:
Address: J / D SV4i714 1-14 i,r plRae-a.
Legal Description: White City Plaza, Blk. B, Lots 5,6,7,&8
Property Tax ID #. 3410-602-0011-000-6
Site Plan Name:
Project Name:
Setbacks Front Nlc Back: 110.6
DETAILED DESCRIPTION OF WORK:
31'8" x 53'6" screen pool enclosure
.f
•4
Right Side: 44.9
Left Side: 43.9
Lot No.
Block No.
CONSTRUCTION INFORMATION:
itiona wor to e e orme under this permit- check
0HVAC Gas Tank ❑Gas Piping
a
apply:
F1_ Shutters
a Windows/Doors
LI Electric 0 Plumbing
t"
�Sprinklers Nyf
Generator
El Roof Roof pitch
q 1.694
Total S Ft of Construction:
S . Ft. of First Floor:
Cost ofConstruc4n:$' 11,500
lltilities:cnSewer
Septic
Building Height:
OWNER/LESSEE: ``=.
CONTRACTOR:
Name s"Ar6t I c i "'c,A ��/?
Name: 51Up- /6KFl H L,Se_IfP4('F-
Address:___ i T N
Company: K& S Industries Inc.
Address: 1-3 79 S•+)• i )L7-/AoRf- -el-
City: State: FL
Zip Code: 34982 Fax:
City: PQ/T S- - Ur-cf- State:Fl
Phone No. 370-5807
Zip Code: 34983 Fax: 879-6910
E-Mail:
Phone No. 879-6885
Fill in fee simple Title Holder on next page ( if different
E-Mail: kandsind@aol.com
State or County License: CGC1507642
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencem t is require,.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: FBC Plans & Engineering
Name:
Address:
Address: 6272 Abbott Station Dr.
City: Zephyrhllls State: Fl
City: State:
Zip: 33542 Phone 813-788-5314
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
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. n
Signature of O ner/ essee/Contractor as Agent for Owner Signature of C tract r/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S'T: W c'(R COUNTY OF rs-;r: �J c't',
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this -day of[� , 20 by this J& day of bP C 20 by
Name of pars n making statement
Personally Known OR Produced Identification
Type of Identification
Produced
OKI �el
(Signature of Notary Public- State
Notary Public State of
Commission No. X ) Danielle King
v� MY Commission FF %
of Expires 10/2712019
Name of person making statement
Personally Known )1�— OR Produced Identification
Type of Identification
Produced
Publ
W",
91"'R —No ttppry Public State of
on No. ( �hlelle King
My Comrnisslon FF 99
Expires to/27/201e
REVIEWS FRONT ZONING SUPERVISOR PLAN VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW RE" REVIEW REVIEW REVIEW
DATE I
RECEIVED
COMPLETED
Rev. 8/2/17