HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONJ
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Pdrmit Number: 1 a— ()
SCANNED RECEIVED
BY
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VULHI' C' Permit Application permitting Department
Planningand Development Services' PerSL UX cle gust Lfih
P St. Luce G�al�i�Y
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
Date:
Address: 7702 Belmont Ave Fort Pierce, FL 34951
Legal Description: 7702 Belmont Ave. Fort Pierce, FL 34951 Lakewood Park Unit 4 Blk 33 Lot 7
I
Property Tax ID #: 1301-604-0131 ,,000-8 Lot No. 7
Site Plan Name: Block No. 33
Project Name:
Setbacks Front NIA Back: ,48.5' Right Side: 35'
I DETAILED DESCRIPTION OF WORK:
Build a 12' X 28' screen room with an aluminum roof on existing slab
Left Side: 24.8'
CONSTRUCTION INFORMATION:
Aaa itional worK to be ertormed under this permit - c ec a that app y:
C]HVAC Gas Tank I, ❑Gas Piping Shutters Windows/Doors
Electric El Plumbing
, O Sprinklers Elenerator E] Roof Roof pitch
Total Sq. Ft of Construction: I S Ft. of First Floor: _
Cost of Construction: $ 6795.00 I Utilities: Sewer 0 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Jeffrey and Susan Kitto
Name: David F Miller
Address: 7702 Belmont Ave
Company: A Quality Construction
City: Fort Pierce State: FL
Address: 3531 S 25th St.
Zip Code: 34951 Fax:
City: Fort Pierce State: FL
Phone No. 402-599-9448
Zip Code: 34981 Fax:
E-Mail:
Phone No. 772-343-0805
Fill in fee simple Title Holder on next page ( if different
E-Mail:
from the Owner listed above)
State or County License: CBC 1257739
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: R. A Dunlea
Name:
Address: 1513 Cervantes Place
Address:
City: The Villages State: FL
City: State:
Zip: 32159 Phone 772-z85-6444
Zip: Phone:
FEE SIMPLE TITLE HOLDER: j _ Not Applicable
BONDING COMPANY: Not Applicable
Name: I
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: Y ur failure to Record a Notice of Commencement may result in your paying twice for
improvements to your ropertyl. A Notice of Commencement must be recorde and posted on the jobsite
before the first inspe Ion. If you intend to obtain financing, consult with le r or an attorney before
commencing work recording Vour Notice of Commencement.
Signatu Owner/ L see/Contractor as Agent for Owner
Signatu a of Contractor/License Holder
STATE OF FLORIDa
STATE OF FLORIDA '
COUNTY OF �F ,I,.a�� a .
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of I.20_ by
this day of , 20_ by
(M
L1 , `•�I Q..o-,
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
( ignature of Nota' ate f:Florida) n. "�" "
(Signature of Notary Public- St)CFoT Florida )
Commission i o.. +''1-- LAB .:Seal �.�te otF .1ft
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Commission No. (Seal)
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Commission # FF 17 9
LASHAHNA INGRAM
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a� nuA�o a of Florida
REVIEWS
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Expires .)ec
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20, 2018
FVANGRO� E
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COUNTER
REVIEW
REVIEW REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17