HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: q11r SCANNED Permit Number: l�( � % as
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BUildinglPermit Application
Planning and Development Services 01.1018
Building and Code Regulation Division lerrnitti
2300 Virginia Avenue, Fort Pierce FL 34982 St. Cu a Depart,
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Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X my
PERMIT APPLICATION FOR: Aluminum without concrete
PROPOSED IMPROVEMENT LOCATION .;"f :,
Address: 6472 ALMENDRA
Legal Description: 06/07 34 39 ALL THAT PART LYG NELY OF[ 95 LESS SPANISH LACKS FAIRWAYS
Property Tax ID #: 1306-111-0001-000-0 Lot No.
Site Plan Name: I Block No.
Project Name:
Setbacks Front25 Back: 15 Right Side: 7 Left Side: 7
I
DETAILED'DESCRIPTION, OF WORK :.-
(STORM DAMAGE) BUILD OPEN PATIO; COVER 11'X15' WITH 3" POLY INSULATED ROOF ON
EXISTING CONCRETE
CQNS.TRUCTLON] NFORMATION
Additional workto a er orme is under —checkpermit
a apply:
11HVAC
j�
L _1
Gas Tank
I
❑Gas Piping
_
Shutters
Windows/Doors
Electric ❑ Plumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 4700.00
Utilities: _
Sewer
[]
Septic
Building Height:
OWNER/LESSEE: ,°f.`` ;
CONTRACTOR:
NameGILDA TURNER
Name: MATTHEW MARKS
Address: 6472 ALMENDRA
Company: EAST COAST ALUMINUM
City: FORT PIERCE State:FL
Zip Code: 34951 Fax:
Phone No.253-740-3326
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: ECAPINC@HOTMAIL.COM
State or County License: 24526
It value of construction is $Z500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
Name: SUNCOAST ENGINEERING
Address: 13630 58TH STREET N. #101
City: CLEARWATER
Zip: 33760 Phone 727538-9000-9000
Appli
State: FL
FEE SIMPLE TITLE HOLDER: _ Not Appl
Name:_ i.,tl ttyt 6l t lc'
Address
City: rn icLn, r
Zip: Phone:
,G ±M'A,IYt N ...�
MORTGAGE COMPANY: Not Applicable y
Narr• _ T
Address:
City: State:
Zip: Phone:
le BONDING COMPANY:
Name:_
Address:
City:
Zip:
Phone:
—Not Applicable
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 Count 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 permi
in accordance with the approved plans, the Florida Buili
The following building permit applications are exempt f
accessory structures, swimming pools, fences, walls, sig
WARNING TO OWNER: Your failure to Record a
improvements to your property. A Notice of G
before the first inspection. If you intend to obt
commencing work or recording your Notice of
I do hereby agree that I will, in all respects, perform the work
ng Codes and St. Lucie County Amendments.
)m undergoing a full concurrency review: room additions,
s, screen rooms and accessory uses to another non-residential use
Jotice of Commencement may result in your paying twice for
mmencement must be recorded and posted on the jobsite
iin financing, consult with lender or an attorney before
:ommencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF <1
The forgoing instrument was acknowledged before me
this P day of A ft(L 20Ja by
Name of person Ing statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary P Ic-
Commission No. = _*
Fs` 913� y�
REVIEWS FRONT
COUNTER
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
3 w rion96NIALO M. HOLMAN
Notar Public - State of Florida
Col Wilon # FF 913240
r�, My Comm. Expires Sep 20, 2019
Bonded through National Notary Assn.
ZONING I SUPERVISOR
REVIEW REVIEW
STATE OF FLORIDA
COUNTY OF S-: Lucie
The f roing instrument was acknowledged before me
this day of A PA IL 2011P by
W -17-NEW Ma ff_ V..s
Name of person mf statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Pu
Commission No.
fF 91
PLANS I VEGETATION
REVIEW REVIEW
oridaDpNALD M. HOLMAN
Notary Public -.State of Florida
C"pplon # FF 913240
My Comm. Expires Sep 20, 201!
Bonded through National Notary Assr
SEA TURTLE I MANGROVE
REVIEW REVIEW