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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �-1 ' `� • �� I���� Permit Number: I U _ [ � RECEIVED Building Permit Application APR 17 2018 Planning and Development Services 1 ST. Lucie County, Permitting Building and Code Regulation Division L-- 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 CdImmercial Residential X PERMIT APPLICATION FOR: Aluminum with concrete ;- PROPOSED IMPROVEMENT LOCATION: :. Address: 2 I Legal Description: PORTOFINO SHORES -PHASE TWO Property Tax ID #: 131250200760005 Site Plan Name: Project Name: PORTOFINO SHORES Setbacks Frontna Back:18.11 �::•E Qt a 85, 6218 Arlington Way Right Side: 11.40 Left Side: 11.72 Lot No.85 Block No. .DETAILED DESCRIPTION OF WORK: Form, pour & finish an 12-16 ft X 38 ft concrete slab, build aluminum screen room on the new slab, aluminum composite roof panels and screen walls CONSTRUCTION INFORMATION: Additional work to be erformed under this permit — c eck a apply: 11HVAC Gas Tank ❑Gas Piping 1 _ Shutters Q Windows/Doors Electric Plumbing U Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: 513 Cost of Construction: $ 17,590.00 S . Ft. of First Floor: I Utilities: Sewer Septic Building Height: OWNER/LESSEE: '„ CONTRACTOR: Name AX b*.r It ACLr Car {-nn 1'0 Address: (.2V6 A r<«a -6 Name: C_l: (-Fac- d jZ 9_1 s Company: TREASURE COAST HOME IMPROVEMENTS, INC. Address: r►�a ekva City: f-+ State:FL 1 Zip.Code: 34951 Fax: Phone No.401-935-9800 City: Port St LjL�Q_ State:FL Zip Code: 34953 Fax: 772-673-3783 Phone No. 772-263-9287 E-Mail: clw1088@gmail.com State or County License: CRC057901 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) I I If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. I I SUPPLEMENTAL' CONSTRUCTION LIEN LAW fNF0RMAT1.01: , DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name:SSU_b, Sun Name: Ad d ress: 2765 TAMIAMI TRAIL SUITE A Address: City: Pert C. rlAt+m State: FL City: State: Zip: -uwQ339SZ Phone 941-456-7535 Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: BONDING COMPANY: Not Applicable Name:_ Address: City:_ Zip: Phone: DWNER/ 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 I ndergoing 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. Signature t'gymer/ Lessee/Contractor as Agent for Owner Signature of C n i r ctor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OFSTWGE COUNTY OF STWCIE The forgoing instru nt was acknowledge before me The for ing gnstrum t was acknowledgeoefore me this day 20 i by this 4 day of 20Z by of CLIFFORD WELLS CLIFFORD WELLS Name of person making statement / ✓ Name of person making statement / Personally Known OR Produced Identification Personally Known OR Produced Identification V Type of Identification Type of Identification Produced Produced ; I (Signature of Notary Public- State of Florida) (Signature of Notary Publi o ida,, KAREI S6al IELSEN Commission No. . ,a °��'�. �. )N Commission # FF 115637 r1&_atey, ' `�` on`�t � S. NfELSEN Commission No. < a. - C s On *n F My Commission Expires a*" FF �c M y C p 1 1563 7 emission Expires June 12, 2018_I•= __ Junes 12. 20 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED \ DATE COMPLETED Rev. 8/2/17