HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONP.,
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED '�rr1� Q2
Date: Permit Number: 1203 ` 01 o J
SCANNED
[BY RECEIVED
Bu I'dYAPermit Application
MAR 0I 1018
Planning and Development Services ee ent
Building and Code Regulation Division perms. Lu uc1e Count`I
2300 Virginia Avenue, Fort Pierce FL 34982 St'
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
`-PROPOSED IMPROVEMENT LO_CATIO'N
Address: 7658 RED CROSSBILL CT., PORT ST. LUCIE, FL 34952
Legal Description: FAIRWAYS AT SAVANNA CLUB REPLAT NO. 1 PB 57-40 BLK 6B LOT 4 OR 2532-363
i
Property Tax ID #: 3424-800-0046-000-1 Lot No.4
Site Plan Name: VALERIE J HINES Block No. 68
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
SCREEN ROOM ON EXISTING SLAB
CONSTRUCTION
IN'FORMATIO'N
Additional work to
e nertormed under this permit — checITIt
apply:
0HVAC
0Gas
Tank
❑Gas Piping
_
Shutters
F]Windows/Doors
11
Electric
0 Plumbing
0Sprinklers
F]
Generator
11
Roof
Roof pitch
Total Sq. Ft of Construction:
� ; Cost of Construction: $ _�,u
S Ft. of First Floor: _
Utilities: Sewer E]Septic
Building Height:
OWNER/LESSEE. ' ,
CONTRACTOR:
NameVALERIE HINES
Name: DAVID WARD
Address:7658 RED CROSSBILL CT
Company: WHITE ALUMINUM & WINDOWS LLC
City: PORT SAINT LUCIE State:FL
Address: 519 NW ENTERPRISE DR
Zip Code: 34952 Fax:
;City: PORT ST LUCIE State: FL
Phone No.772-631-2452
Zip Code: 34986 Fax:
E-Mail:
Phone No. 772-212-1400
Fill in fee simple Title Holder on next page (if different
E-Mail: DWARD@WHITEALUMINUM.COM
from the Owner listed above)
State or County License: CGC1519312
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
�SUPRLEMENTAL�CONSTRUC�fO�N'LI��(�LA1N��N�O�R�NIATION
�t��a� �, ` � � `� k""-��� ���
DESIGNER/ENGINEER: X Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:VALERIE HINES
Name:
Address:7658 RED CROSSBILL CT
Address:
City: PORT SAINT LUCIE
City:
Zip: Phone:
Zip:34952 Phone:772-631-2452
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. A
1AU /'� I -Ala
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature o Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
this day 20_ by
The forgoing instrument was acknowledgebefore me
this =d of MC 20by
of
y r C _��
at,Qid lA:tn t
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 Ideaxifi Ion
Produced
Produced
(Signature of Notary Public- State of Florida)
o otary Public- Stat`
Commission No. (Seal)
^7 �,�,�� � BRITTANY E. MO
Commission No. / `_0, . 1potary Public - State
' Commission # GG
My Comm. Expires 0
OF P,
REVIEWS
FRONT
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SUPERVISOR
PLAN
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REV
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
`V4 15
tev. 8/2/17
0 239
t 2020
No ry Assn