HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONf / \
ALL APPLICABLE INFO MUST BE COMPLETED FOR APR
[CATION O BE ACCEPTED a u d
Date: <o r� �i� Permit Number: �Ad�
LuriPRECEIVED
- � Building pp Permit A licatio I APR 1 6 2018.
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Corn 1ercial Residential X
PERMIT APPLICATION FOR: Aluminum without concrete
77777777777
PROPOSEDaFMQROUEMENT LOCATION .w v,kx x x y . `
Address: 66 Aqua Ra Drive Jensen Beach, FL 34957
Legal Description: WINDMILL VILLAGE BY THE SEA UNITTWO-BLKA LOT 12-LESS W 36.30 FT (UNRECORDED A/D DATED 11-1-88
IN FILE: OR 1124-1941 : 1960-1453 :20 14-222039 66-109; 4000-2589)
Property Tax ID #: 4511-811-0013-000-5
Site Plan Name:
Project Name: -
Setbacks Fro
SCREEN ROOM WITH
s0�r
Back: Right Side: LeftSide:
INSULTED ROOF
Lot No.
Block No.
Additional work to be nertorme
11HVAC
•' under this permit —Check all
❑Gas
apply:
Shutters
a Windows/Doors
Gas Tank Piping
_
Electric 0
Plumbing
[]Sprinklers
El Generator
Roof I Roof pitch
Total Sq. Ft of Construction: / �—` L
/
S . Ft. of First Floor:
n
Cost of Construction: $
—'%15O0,-0Q Utilities:
_Sewer
L�J Septic
Building Height:
i Y ns x 'Mr1 +2 ) '. ,'E C yk
QWNE"R/L'ES5EE"�a
-',E ; r.fa`, r 5sa •k• �+,, .�` < t a, `- •"a >.tw d , ff�i,a. -
CONTRACTORS
� �d �' ; !h i^.. • ex k'3 t 1 ;f �".
•5
m'r s" r ,;a a� ,g
Name TAMMY L SIMONEAU'
Name: GARY WHIGHAM
Address: 8800 S OCEAN/DRIVE
Company: SOUTH FLORIDA ALUMINUM PRODUCTS
City: JENSEN BEACH / State: FL
Address: 4807 SO US HWY 1
Zip Code: 34957 Fax:
City: FORT PIERCE State. FL
Phone No.772-349-4070
Zip Code: 34982 Fax: 772-466-1074
E-Mail: /
Phone No. 772-466-0913
E-Mail: SFAPBOOKS@SOFLALUM.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: CRC-1330712
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIENLAW INFORMATION
DESIGN FR/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: d— C��0AIn
_
Name:
Address:.p Wxe i,2Q ,0�`�nCo A,%*
Address:
City: LD Stat :
City: State:
Zip Phone-*07'i-
'. Ji 7 77T?
Zip: I Phone:
1
FEE SIMPLE TITLE HOLDER: —Not Applicable .
BONDING COMPANY: Not Applicable
Name:
Name•'
Address:
Address:
City:
City:
Zip: Phone:
Zip: 1 Ph
I 7 RECEIVED
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as ii idicated.
I certify that no work or installation has commenced prior to the issuance of a permit. APR 16 2018
St. Lucie County makes no representation that is granting a permit will authorize the permi holder to build the subject stru(ture
which is in conflict with any applicable Home Owners Association rules, bylaws# and cove iws at�rsstrig 'b t such
structure. Please consult with your Home Owners Association and review your deed for an tr Iidd 99��iH�ff �rrrrll
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 fir ection. If intend to obtain financing, consult with I nde or an attorney before
commenci"or r inla , ur Notice of Commencement. I
ZVZ"
I.
Sig tur n r/ Less r as Agent for Owner
Signature of Corntractor/License Holder
STATE OF FLOR A
STATE OF FLORIDA
COUNTY OF�'i-. L 0G1—P
COUNTY C %�. L 0 C�/ )42
The rru' g instrument was acknowledged before me
The for,'n instrl, ent was acknowledged before me
by
thi U day of 20 by
thi���� �Y of 0
L
I
Na a of person aking statement
Personally Known OR Produced Identification
Name df person r9aking statement
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature
Notary Public- State of Florida)
(Signature f otary Public -State of Florida )
Commission
:►"'�' MARY ANN NTI
�•' �`+�: ���
�*���' I MARY ANN M
Commissio C�ifl: � �TI
MY COMMISSION # FF953138
=' •z MY COMMISSION # FF953138
EXPIRES January 24. 2020
'?o,�;�l;�'''I EXPIRES January 24.,2020
FRONT
ZONING
VEGETATION
SEA TURTLE
REVIEWS
SUPERVISOR
PLANS
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
I
COMPLETED
Rev. 8/2/17 `�/