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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr 4 a ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: SCANNED Permit Number: S'6d 1r (X35 ® St Lucie CogntV / RECEIVED Building Permit Applicatio } Planning and Development Services JAN 2 6 2018 Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permitting Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial e51 en Ia PERMIT APPLICATION FOR: Aluminum without concrete Address: 5500 St. Lucie Blvd. P-5 Fort Pierce, FL 34946 Legal Description. 30 34 40 SW 1/4 OF SW 1/4-LESS ASTF S LI (OR 2947-659: 3111-1969 Property Tax ID #: 1430-331-0002-000-5 Site Plan Name: Project Name: Setbacks Front '29 Back: � Right Side SUN ROOM TYPE II 1]HVAC U Gas Tank Gas Piping 1-1 Electric El Plumbing Sprinklers Total Sq. Ft of Construction: .0%;' 1517 Cost of Construction: $ '71 Me', Util OF LAND ON E BEING 331.2 FT ON N LI AND 333 FT ON Left Side: "Generator Ft. of First Floc LI Sewer 11 Septic Lot No. 0 S Block No. Building Height: Roof pitch OWtNER/LESEE y ��s CONTRACTOR�. Name Chad Johnson Name: Gary Whigham Address: 5500 St. Lucie Blvd Company: South Florida Aluminum Products City: Ft. Pierce State: FL Address: 4807 So US Hwy 1 Zip Code: 34946 Fax: City: Ft. Pierce State: Phone No. 312-909-7414 Zip Code: 34982 Fax: 772-466-1074 E-Mail: i 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 requires. DESIGNER/ENGINEER: _ Not Applicable Name: &wLc6cs hlth& LLc c Address: for X''t jh_ 101 City: fti«,-Wt_6_ State: IRL Zip: j� awn Phone:7Z7-5 2,=JQ0,a FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: 4807 So US Hwy 1 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 resul ora payiigig twice for improvements to your property. A Notice of Commencement must be rec and posted o the jobsite before the firs ecti ou intend to obtain fin, 1 king, consult en - er or an attorne before commen ' worm recordi g vour Notice of Commencement. / of essee/Contractor as Agent for Owner I I Signature of STATE OF FLOWDA COUNTY OF,—, ' t u e!. •P The forgoy'ng instru ent was acknowledged before me this �iay of 20y r Na a of person ,king statement Personally Known OR Produced Identification Type of Identification Produced (Signature ofiVotary Public- State of Commissi ' tVC' �: AAARY,AINN m Tom' MY COMMISSION # FF953138 i�F*"r EXPIRES Ider STATE OF FLORIQA COUNTY OF _�V LUG! �P The forgoing instru ent was acknowledged before me 'W this day of .+ 20 by �6 /ee . W-'-, Name of p rson ,king statement Personally KnownOR Produced Identification Type of Identification Produced (Signature of NJ6tary Public- State of Florida ) Commission '� MY COMMISSION # FF �q!� EXPI �53138 RES January 74. 9n9n 1 Q/13`:U'y:l Firma. FFRONT $f;lviCC REVIEWS PERVISOR PLANS VEGETATION SEATORT GROVE COUNTER !REVIEW TREVIEW' REVIEW REVIEW REVIEW REVIEW DATE 3— RECEIVED DATE COMPLETED Rev. 8/2/17 O /