HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE`COMPLETED FOR APPLICATION TO BE ACCEPTED j Q
Date: SCANNED Permit Number:
BY
St Lucie County
Building Permit Application RECEIVED
Planning and Development Services 1
Building and Code Regulation Division MAY -0.13 2010
2300 Virginia Avenue, Fort Pierce FL 34982 mlttIng Department
Phone: (772) 462-1553 Fax: (772) 462� 1578 Commercial Residentiarist. Lucle County
PERMIT APPLICATION FOR: Alumtiinum without concrete
PROP,OSED'IMPROVEMENT LOCATION
Address: 2941 Eagles Nest Way, Port St Lucie, FI 34952
,1
Legal Description: Eagle's Retreat At SavannalClub Phase 2 (PB 43-21) ELK 63 Lot 4 (OR 2365-705)
Property Tax ID #: 3424 702 0165 000 0 Lot No. 4
Site Plan Name: Savanna Club Block No. 63
Project Name: Stempien
Setbacks Front 15 Back: 13 Right Side: 12 Left Side: 15
DETAILED DESCRIPTION:,-'OF'W,ORK
Installing a 25 x 10 replacement screen room on the back of the home.
Concrete is existing
CONSTRUCTION IWORIUTATION
Additional work to a er orme under this permit — c ec
OHVAC 11 Gas Tank Gas Piping
a
app y:
_ Shutters
a Windows/Doors
Electric 11 Plumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 9 , 0 0 0.0 0
Utilities:
Sewer El
Septic
Building Height:
-MNERAESSEE. ° =
CONI'RACTOR:';,-'
Name Ed Stempien
Name: Jeff Jackman
Company: Master Craft Aluminum Products
Address: 2941 Eagles Nest Way
Address: 1634 SE Niemeyer Cir
City: Port St Lucie State: Fl
Zip Code: 34951 Fax:
City: Port St Lucie State: FI
Phone No. 772-579-6902
Zip Code: 34952 Fax: 772-335-0860
E-Mail:
Phone IV'o. 772-335-1177
Fill in fee simple Title Holder on next page ( if different
E-Mail: mastercraftaluminum@gmail.com
from the Owner listed above)
State or County License: SCC131150586
IT value or construction is }z5uu or more, a KMOKOW Notice of Commencement is required.
I Y
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
II
MORTGAGE COMPANY: Not Applicable
Name: EdStempien
_
Name: Jeff Jackman
Add ress: 2941 Eagles Nest Way, Port St Lucie, FI 34952
Address: 2941 Eagles Nest Way
City: Port St Lucie I State:
City: PortSt Lucie State:
Zip: Phone I
I
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address: 1634 SE Niemeyer Cir I
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT:iApplication 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, theFlorida 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_
I
er/ Lessee/Contractor as Agent for Owner
Sign=EFLORIDA
Sig on actor/License Holder
STA
STATE FLORIDA
COUNTY OF smucie
COUNTY OF St Lucie '
i
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 2 day of May 20— by
this 2 day of May 20_ by
Name of person making statement
Name of pe�rss n making statement
Personally Known �_ OR Produced Identification
Personally Known lt, OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of Florida)
(Signature of NotaryPublic- State of Florida )
Commission No. (Seal)
al)
Commission No.&MrA D. moe
NOT D. MooreRY PUBUC
NOTA
NOTARY PUSUC
LORIDA
ST
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DATE
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Rev.8/2/17 (