HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number: Ii0C0J dq(3_
StLucie Mot RECEIVED
—]
Building Permit Application JUN o 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie Cotdnty, Pormitting
2300 Virginia Avenue, Fort Pierce FL 34982 _
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
Date: 06/06/2018
PERMIT APPLICATION FOR: Aluminum with concrete
-PROPOSED IMPROVEMENT LOCATION:- _ 1
Address: /3Q_r Kac d 1P �L 3�Pgk7
Legal Description:
13 35 39 N132 FT OF S 264 FT OFE 1/2 OF SE 1/4 OF NW 1/4 OF NE 1/4-LESS E30 FT-(0.91AC)(OR3181-378;
Property Tax ID #: 2313-124-0009-000-1 Lot No.
Site Plan Name: David Comtois Block No.
Project Name: Comtois
Setbacks Front 11 / G Back: 101. 7-Y Right Side: C(d .I16 LeftSide: I
"DETAILED DESCRIPTION OF WORK:
Aluminum Screen Porch with Aluminum solid "poly" Roof 14' x 22'
Concrete Footers 12" x 12" with 1 #5 rebar
Aluminum Open Covered Patio With 1 Tx 12' solid "poly" Roof
Concrete Tooter for post 30' x 30' x 24' with 1 #5 rebar
CONSTRUCTION)NFORMATION:
Additional work to be performed under this permit- check all that apply:
�HVAC Gas Tank []Gas Piping _ Shutters ❑ Windows/Doors
Electric ❑_ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: I -rO S . Ft. of First Floor: _
Cost of Construction: $ 7,000 Utilities: Sewer 0Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR: ° � . L
e Nam4o,4d 4,- /,r'Ti r
Name: S64ep" ►^1u kl.s,. -,,ee.
Address: /3a?5- k3r, o ne 0-
City: F'uA-d- ' p ic-t-- State:FL
Code: 3 `M L Q Fax:
Company: k t z-S 117d4_r
Address: /J-7Zip
City: paw k 5 f bu-,-c- State: r-L,
Phone No. 7 a,3 7 O
Zip Code: 3Lt 9 %3 Fax:
E-Mail:
Phone No. 9 7 a - `079 — 1�n 605
Fill in fee simple Title Holder on next page (if different
E-Mail: k a h ds ► r, J [d ao 1. Gow,
from the Owner listed above)
l
State or County License:
IT value oT construction Is �iZWU or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION,LIENt LAW, INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY:
Name: Ga G PLC + -v�e r.ti
Address: 6.741ili, 0--,
City: T b (iS State:y%-
Zip: 3Asy,)Phone Q,13 - 9 R - s,31�
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address: i
City:
Zip: Phone:
Name:
Address:
City:
Zip: Phone:_
BONDING COMPANY:
Name:_
Address:
City:_
Zip:
Phone:
_ Not Applicable
State:
_Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is thereby 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 Buildiing 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
commenci!)g Woror recordi our tice of Commencement.
Signature & Ow / Lessee/Contractor as Agent for Owner
Signature of ontra r/License Holder
STATE OF FLORIDA
_31 ��
STATE OF FLORIDA
OF
COUNTY OF
COUNTY
The forgoing instrument was acknowledged before me
15 J
The forgoing instrument was acknowledged before me
W t)
this day of : a - 20 It by
this day of - , 20A by
Name of pe so making statement
Name of person making statement
Personally Known � OR Produced Identification
Personally KnownOR Produced Identification
Type of Identification
Type of Identificat2n(
Produced
Prod d
(Signature of Notary P 'blic
(Signature of Notary Publi <S o rida
�vr N tary Public State of Florida
Commission No. Z King
ua* ro
jp�ublic State of Florida
ommission No. r° n�e116 K ing
My Commission FF 931228
or Expires 10127l2019
My Commission FF 931228
?or
M1°�
Ro� Expires 10/27/2019
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DATE
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COMPLETED
Rev.8/2/17