HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1 • r
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /�1 r
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Date Permit um er.
111�0BANNED Waft
,t? Ytrip O>Iv , APR I a 1p0
Building Permit Application fem„�
Planning and Development ServiceseSt LAw �1
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Aluminum without concrete
I'ROPQSED fI:MPROVE11/IENT LOCATION Y
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Address: 27 Lake Vista Trail #103 Port Saint Lucie, FL 34952
Legal Description. VISTA ST. LUCIE
Property Tax ID #: 3422-500-0367-00
Site Plan Name:
Project Name:
27 UNIT 103 (OR 3150-1050)
Lot No.
Block No.
Setbacks Front /'� iA' Back: N /i Right Side: Left Side: l
x x �_ •. < x z
n`FTaI`IxFD3.DESCR'LFTIO,N`C►F.U1%ORK
SUN ROOM KcPlac-�cwu
CONSTRIJC`flOf��I;IVFORl1/IATION s r 'Y
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AdditionalworK to be nertormed under this permit — cnecK all apply:
❑HVAC 0 Gas Tank Gas Piping _ Shutters. Windows/Doors
11 Electric 0 Plumbing Sprinklers LJ Generator Roof Roof pitch
Total Sq. Ft of Construction: ,, �9-;) 5e S . Ft. of First Floor:
.y
Cost of Construction: $ 06 �Utilities:Cn Sewer El Septic Building Height:
1.2 .j
OWNER%LESSE'51; � '
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,CONTROR
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ACTx<
Name JANET NOE
Name: GARY WHIGHAM
Address: 27 LAKE VISTA TRAIL #103
Company: SOUTH FLORIDA ALUMINUM PRODUCTS
Address: 4807 SO US HWY 1
City: PORT SAINT LUCIE State: FL
City: FORT PIERCE State: FI-
Zip Code: 34952 Fax:
Phone No. 772-878-7447
I Zip Code: 34982 Fax: 772-466-1074
Phone No. 772-466-0913
E-Mail: f
Fill in fee simple Title Holder on next page ( if different
E-Mall: SFAPSOOKS@SOFLALUM.COM
from the Own er 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: Mrc-Aae1 , r_
Address: -`fd! 4 •
City: D✓'la.tidu r State:
Zip: 9 ZT1 I Phone 0 70
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
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 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 inrpryection. If you intend to obtain financing, consult wiitth^ I or an attorney before
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Si ner Lessee/Contractor as Agent for Owner
Signat a of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ,<T'
COUNTY OF
I
The f r ng instrument wa acknowledged before me
this day of / . 20J6by
The forggng instrum nt was acknowledged before me
this y of i L 20 by
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C?%i l.�J d /l-
� � W L1 y AArr-- -
Naine of personmaking statement
Name of perso aking statement
Personally Known OR Produced Identification
Personally Known V OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Atary Public- State of Florida )
(Signature of N tary Public- State of Florida)
Commissi n, Pw.. MARY ANN Mp($OiTl
Commiss MA ANN MATT
-• ION # FF 531 8
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=• •= MY COMMISSION a FF953138
T'
:l , 7;
•$er�y°: , EXPIRES January 24. 2020
EXPIRES January 'L4. 2020
, .
140r13
REVIEWS
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SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
FRONT
ZONING
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
,fI
RECEIVED
DATE
COMPLETED
Rev. 8/2/17