HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ,q
te: SCANNED Permit Number: lOoei• us--1
BY
O4e Lucie County RECEIVED
•
Building Permit Application Jul.,112019
Permitting De
nning and Development Services St. Lucietrpent
Iding and Code Regulation Division Counounty
70 Virginia Avenue, Fort Pierce FL 34982
one: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
P
RMIT APPLICATION FOR: Aluminum without concrete (-
P',OPOSED:IMPROVEMENT
LOCATION::
ress:
11 Description: Indian River Estates- unit 07- BILK 27 Lot 30(map 34102N)(OR 3958-1806)
ierty Tax ID #: 3402-608-0025-000-0
Plan Name:
act Name:
Jacks Front 2 �` Back: . Right Side: 2-2- Left Side: b
FAILED DESCRIPTION,OF WORK:
ien Room attached to exsiting slab located on North West Corner of home.
IONSTRUCTION INFORMATION:
itiona wor to a De orme under this permit —check all that app y:
0 HVAC q Gas Tank
11 Electric 0 Plumbing
taI Sq. Ft of Construction: 110
st of Construction: $ 2350
❑Gas Piping Li Shutters
❑Sprinklers 1:1Generator
S Ft. of First Floor: _
Utilities:]Sewer El Septic
Lot No.30
Block No. 27
QWindows/Doors
Roof Roof pitch
Building Height:
. + WNER/LESSEE:
CONTRACTOR:
II ame`N _
Name: A P
ddress: !fao Cam- r — 6-"
Company: Don Hinkle Construction Inc.
ity State:FIL
Address: _`7{3 0.5' S'. -:7 v I plu A V iit40(11
Zip Co 3 y !_ f v Fax:
City: FrA,-e t2 C'C_ State: FLi
i hone Nd
Zip Code: 34982 Fax: 772-467-1348
E-Mail:
Phone No. 772-528-2227
!
ill in fee simple Title Holder on next page (if different
chadhinkle@bellsouth.net
E-Mail: @
�rom the Owner listed above
CGC 036040 1
State or CountyLicense: i
value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
S PPLEMENTAL.CONSTRUCTION LIEN LAW INFORMATION:
NE
Not Applicable
me: SunCoast Aluminum Engineering, LLC
dress:13630 58th street north suite 101
y: Clearwater State: FL
33760 Phone 727-532-9000
SIMPLE TITLE HOLDER: _ Not Applicable
me:
dress:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone: i
BONDING COMPANY: _Not Applicable)
Name:
Address:
City: f
Zip: Phone:
O NER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I c I rtify 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
w (ch is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
str cture. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In onsideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in ccordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
Th following building permit applications are exempt from undergoing a full concurrency review: room additions,
�IJAIRNING
essory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
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
c6'mmencing work or recording vour Notice of Commencement.
of Owner/ Lessee/Contractor as Agent for Owner
TE OF FLORIDA �V 1 GCS
JNTY OF _ Luc -
forgoing forgoing instru ent was acknowledge efore me
LS—day of 20 by
Name of person making statement
finally Known OR Produced Identification
of Iden ificatioa_
C.44�� • l , bA�
gnature of Notary Public- State of Florida
mmission Q`�%oyP1, KAREN S. N¢� )Public
_• •= Commission # GG 207484
My Commission Expires
>4 G
Signature of Contractor/License Holder
STATE OF FLORIDA . o, I F
COUNTY OF =)� t � � � r
The for oing instru ent was acknowledge before me
this day of 20_11 by
�p!JO.ln gl1.IK.l
Name of person making statement
Personally Known OR Produced Identification
Type of Identifi�
Produced ,
(Signature of tagy!;p plic- ft
xp,RAFjpriiNOOLSEN
;"4 -State of Florida -Notary Public
Commission N a Commission'# q§p484
,i/�oFF�o��� rnmissloh xpires
rr11r„ June '12, 2022
REVIEWS
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
FRONT
COUNTER
ZONING
REVIEW
DATE
RECEIVED
j
DATE
COMPLETED
At
7 33
19
i
.8/2/17 V "r