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Date: W ' `� BY Permit Number:
St�i�ei�PAItrit
RECEIVED
Building Permit Application SUN 0 6 2o�s
Planning and Development Services
Building and Code Regulation Division ST, Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Aluminum without concrete 0
PROPOSED IMPROVEMENT LOCATION:
Address: /l6?� 7-a)ia CkCkK' 4M,
Legal Description: lot 15 Twin creek I
Property Tax ID #: 2333-601-0015-020-8
Site Plan Name:
Project Name: Twin creek
Setbacks Front N/C Back:
115.11 Right Side: 51.07
DETAILED DESCRIPTION OF WORK:
24' x 41' mansard style screen roof pool enclosure
Left Side: 55'
Lot No.15
Block No.
CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit- check
❑HVAC E] Gas Tank ❑Gas Piping
a
apply:
_ Shutters
Q Windows/Doors
❑ Electric ❑ Plumbing
❑Sprinklers
❑ Generator
❑ Roof Roof pitch
Total Sq. Ft of Construction: 984 sq. ft.
Sq. of First Floor:
Cost of Construction: $ 7,700
Utilities:
El
Sewer
❑Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name �JC�i 1'�1 4 7�AVlRh ®k 1 /-Z--
Name: _sTEYG M4HL.So-041Or
Company: K & S Industries Inc.
Address: % 67S T �/i";f C A CflK D R
City: F7- State: F
Address: I -3 7 % S,'�' P `01 t4 o" S -r.
Zip Code: 34945 Fax:
City: P MT S 7 - U L I - State: FI.
Phone No.466-7093
Zip Code: 34983 Fax: 772-879-6910
E-Mail:
Phone No. 879-6885
E-Mail: kandsind@aol.com
Fill in fee simple Title Holder on next page (if different
State or County License: CGC1507642
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
/ 1-d 1'ZnA
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: ii C Al A4,5 c
_ Not Applicable
EalyAJ Crk144
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address: 8272 Abbott station
City: � r pH yAr _s State: Fl
Zip: 33542 Phone 813-7885314
City: State:
Zip: one:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Address:
City:
Zip: Phone:
Zip: P e:
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 inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice ofXommencement. 01 Zn
Signature of Owner/ 1_6ee/Contractor as Agent for Owner
STATE OF FLORIDA J GG%L
COUNTY OF
The forgoing instrument was acknowledged before me
this 41 day of ----J 26 / by
%EERG-ki �j .. k1�2 t-4I2-P
Name of per o making statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Nol PublicJ Jill
-
��o!� �Y PUNC State of Fill
Commission NoA3 � a4 (,Ile King
My Commission FF 931228
M n°� Expires 10/27/2il
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
COMPLETED
Rev. 8/2/17
Signature of'Irontrgdtor/License Holder
STATE OF FLORIDA
COUNTY OF ST--
The forgoing instrument was acknowledged before me
this 4 day of ci J 4L , 20ja- by
Name of perkF making statement
Personally Known OR Produced Identification
Type of Identification
ature of Notary Prublic- StatpA Florida )
�r ( 9lpublic State of nork
No. b _Te( . en la King
` My Commission RF 931228
cr av Expires 10/27/2o 19
SUPERVISREVIEWOR I REV EW I VEGETATIREVIEW EWON I S EV EWLE I M EVIEWVE