HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO (/ MUST BE COMPLETED FOR APPLICATi �tl�;0 BE ACCEPTED �1 G
' 3' /Yi 7
Date: 2
�� �.�eiE �OUQ�etmit Number:
Building Permit Application
Planning and Development Services ��S 2 2018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Permitting Department
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X St. Lurie county
PERMIT APPLICATION FOR: Aluminum without concrete
.PROPOSED IMPROVEMENT LOCATION: .
Address: 23 FLORES WAY PORT ST LUCIE
Legal Description: 677 3 & YG i=Jit T/ i /Uti, �iri'�i k G„ter /!U ' /L, / - /L..',; yea
czriCl W G1 /,1 S I / =?/s- al'? 14C' 1 �264z)
Property Tax ID #: 3427-111-0002-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front ZL-1� ' Back: stir Right Side:_ Left Side: 41�-_
QETAILED DESCRIPTION OF WORK
(V� � t�-�'I 1 � lI✓� �'1 c� � /
r,
CONSTRUCTION INFORMAT_ ION-.;=�.,
rtiona work to be nerformed under this permit - c ec a app y:
�HVAC Gas Tank ❑Gas Piping _ Shutters 1:1Windows/Doors
Electric 0 Plumbing Sprinklers Generator E]Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 417ce a6
S Ft. of First Floor: _
Utilities:Sewer Septic
Building Height:
OWNER/LESSEE:
,CONTRACTOR:
NameTERRY DEWALT
Name: MATTHEW MARKS
Address:23 FLORES WAY
Company: EAST COAST ALUMINUM PRODUCTS
City: PORT ST LUCIE State: FL
Zip Code: 34952 Fax:
Phone No.
Address: 913 EDWARDS RD
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-464-7603
Phone No. 772-464-7600
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail:
State or County License: 24526
- -eLJ ul muir, d nc,_%inucu iwtree or commencement is requires.
SUPPLEIVIENTAL:CON'STRLICTION LIEN LAW INFORMATION: .
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
N a m e: SUNCOAST ALUMINUM ENGINEERING
Address:13630 58TH STREET N. SUITE 101
City: CLEARWATER
Zip: 33760 Phone727-532-9000
State: FL
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
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 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 your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF_ S 7 Ulc 1 E
The forgoippg instrument was acknowledged before me
thisZ20 ayof r&60%Af-X 20(k by
'&4-17H&t✓ M 4 R Ks
Name of peaking statement
Personally Known rso OR Produced Identification
Type of Identification
Produced
(Signature of Notary Publ
Commission No.
Fi=g13LM�
REVIEWS
RECEIVED
COMPLETED
Rev. 8/2/17
ONALD M. HOLMAN
ggLa yjPublic - State of Florl
Commission N FF 913240
My Comm. Expires Sep 20, 21
JN�
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF STT. Lkc 1 E
The forfwi g instrument was acknowledged before me
this_ way of ACIOM iAley 20/.P by
4 TTHetv 40AL S
Name of person statement
Personally Known Z� OR Produced Identification
Type of Identification
Produced
gnature of Notary Public- y DONALD M. HOLM
p o,
Tlmission No. �oof??yyPublic - State of
• I474mission N FF 91'
My Comm. Expires Sep 2
Bondedthrouph National Not
FRONT ZONING SUPERVISOR PLANS I VEGETATION I SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW I REVIEW REVIEW REVIEW REVIEW