HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALk;APPLICABLE INFO MUST BE COMPL -' -, D FOR APPLICATION TO BE ACCEPTED
Dates 05 MAR 18
SCANNED Permit Number: " Q
i3Y
St Lucie County
Building Permit Application I RECEIVED
Planning and Development Services APR 3 0 2018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
I PROPOSED IMPROVEMENT LOCATION: _
Legal Description: GREENWOOD BLK 1 LOT 10(0.27 AC)(OR 308'-2687)
Property Tax ID #: 2421-702-0011-000-4 Lot No.
10
Site Plan Name: DR KEPFER I Block No. 1
Project Name: DR KEPFER
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
STORM DAMAGED SCREEN ROOM. REPLACE 3" SOLID ROOF WITH SAME. REFRAME
SCREEN WALLS. 11'X22' +/-
CONSTRUCTION INFORMATION:
Aaai!tional worK to oe errormea under tnis permit — cnecK aii appiy:
11HVAC Gas Tank ❑Gas Piping In Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers nGenerator Roof Roof pitch
Total Sq. Ft of Construction: 2-56 6 S . Ft. of First Floor:
I
Cost of Construction: $ Utilities: Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameAL-t "Nu t>z
Name: JOW P.
AddressAb) tS! ('M ni/ow L"..xw 0 r)
Company: EDEN SCREEN & CONSTRUCTION CO., INC
City: M1717M�' q " t� i. State:FL.
Address: ( 99�-SclL
_QXLoci
Zip Code: 4�985I, q SOFax:
City_O74 - State: FL
Phone No. 7'' 4�t 2M 4CA' 5
Zip Code: 34983 Fax:
E-Mail:PHANTOMMD@AOL.COM-
Phone No. 772-216-6171
Fill in fee simple Title Holder on next page (if different
E-Mail: EDEN68 AOL.COM
from the Owner listed above)
State or,County License: CBC 059494
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SL PLEMENTAL CONSTRUCTIO' EN LAW INFORMATION:
DESIi{GNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
ALUMINUM SCREEN DESIGN
Name: i
Name:
Address:44o1VINELANDROAD, A6
Address:
City. 0"' DO State: FL I
City: State:
Zip:3281{ Phone4o7-734-147o !
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name: I
Name:
Address: I
Address:
City:
City:
Zip: Phone:
Zip: Phone: I
I
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 perm, it 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 vour Notice -of Commencement.
r, _::
ature.of Ownerfifesseelc6i6tractor as Agent for OWif!
ATE OF FLORIDA
)LINTY OF I. -
le forgoing instrument was acknowledged before me
is _ day of J1kwr k\ , 20_Lt by
f ercL/ KvcA-P,�
Name of person mAmg statement
onally Knowny OR Produced Identification
of Identification
luced
iature of Notary Public- State L I
;;os+Y�%'•.; KAREN CASTLE
mission No. && 5 � ' �; alJ�otary Public— State of FI
Commission #JGG 1598
My Comm. Expiies Mar 6,
Bonded through National Notary
50J�V,4_ 1 g
of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The fAr7oing instr ent was acknowledge efore me
this. /? day of t 20 (�bv
Name of person making statement
Personally Known OR Produced Identification
Type of Identifi on, ,
of Notary Public- State of
mission I AREN S. NI(SWIP
=_° 's Commission # FF 115637
.a +:
My Commission Expires
Illl
REVIEWS
FRONT
ZONING
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SUPERVISOR
P
iREVIEW
VEGETATION
SEA TURTLE
MANGROVE
II
COUNTER
REVIEW
REVIEW
REVLAN
REVIEW
REVIEW
DATE
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la
RECEIVED
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DATES
COMPLETED
Rev. 8/2/17 V