HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAPPLICABLE INFO MUST BE COMPLETED
SF�O�i4F&5
/ATION TO BE ACCEPTED
te: • a) �' pp��BY CJ Permit Num
St. Lucia Cou*
Building Permit Application
Planning and Development Services
B iilding and Code Regulation Division
2 I00 Virginia Avenue, Fort Pierce FL 34982
P hone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PRMIT
APPLICATION FOR: To Select from dropbox, click arrow at the end of line
APROPOSED.IMPROVEM:ENT
LOCATION:..
Ad %ess: 13300 NW Maplewood Road Palm City
Leg I I Description: Harbour Ridge- Plat 13 Buttonbush Village unit 43 ( or 3736-41)
P
G
o erty Tax ID #: 4426-815-0050-000-7
:e'Plan Name: Kiss
o " It Name: Kiss
Al racks Front37' Back: 20'
EJ",AILED DESCRIPTIONhOF'WORK:
11
;tqlll aluminum pergola
Right Side: 37'
Left Side: 52'
Lot No.
Block No.
CO' STRUCTION INFO'RIMATION-
ACICIltional work to i� e er orme under this permit —check a apply:
HVAC Gas Tank Gas Piping _ Shutters ❑ Windows/Doors
I' Electric 0 Plumbing Sprinklers I Generator 1:1 Roof Roof pitch
Tota Sq. Ft of Construction: 246' S . Ft. of First Floor:
Cost of Construction: $ 17,000.00 Utilities:InSewer 0Septic Building Height:
,01N�V.ER/LESSEE:
. , • .. .
CONTRACTOR: =
Nam�i
Address:
City:
Zip Illode:
Phone
E-M
Fill i
from
Steve Kiss
Name: Gary Bannan
Company: Absolute Aluminum
NW Maplewood Road
I!Palm City State:F�
34990 Fax:
No.561-315-0990
Address: 1220 Ogden road
City: Venice State: FI
Zip Code: 34285 Fax:
Phone No. 561-899-9888
'I il: skwaterman@comcast.net
`fee simple Title Holder on next page ( if different
''the Owner listed above)
E-Mail: vpizarro@absoluteoutdoorliving.com
State or County License: CGC1515805
it value of construction is.5Z500 or more, a RECORDED Notice of Commencement is required.
UPPLEMENTAIL CONS, TRUCl-ION.LIEN LAW INtFORIVIATI'ON
(DESIGN -R/ENGINEER: _ Not Applicable MORTGAGE COMPANY: ,Not Applicable
�amelisis,&kW,0 Name:
ddress: W -Sa irQJCn Al . Address:
Ity :K_ u
ip: Phone
EE SIMPLE TITLE HOLDER:
ame:
ddress:
itv:
ip: Phone:_
State
—7J,/i
Not Applicable
City: State: _
Zip: Phone:
BONDING COMPANY: %ev Not Applicable
Name:
Address:
City:
Zip: Phone:
OWI NER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
ertify that no work or installation has commenced prior to the issuance of a permit.
Sf 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,
ac essory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
ARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
i provements to your property. A Notice of Commencement must be recorded and posted on the jobsite
b fore the first inspection. If you intend to obtain financing, consult with lender or an attorney before
co'mmenciniz�k �'r recordine vour Notice of Commencement.
zl&
Signature o Owner/ Lessee/Contractor as Agent for Owner
Signature of Contract r/License Holder
STATE OF FLO DA
STATE OF FL IDA nn
OUNTY OF
COUNTY OF� _�c�r Cl l
the forgoing instrument was acknowledged before me
The f11going instrument was acknowledged before me
this � day of �%v�p 20 & by
this day of '�- V-o 20_N& by
Q
C' cn4
I1 Name of person making. statement
Na a of person making statement
lersonally Known OR Produced Identification
Personally Known >52 OR Produced Identification
Type of Identificatio
Type of Identification
roduced
Produced
Signa a of $ loll tary Public i �RRO
r�tr�
(Signatu Notary i�, cy„ to e o orb aMA pIZARRO
Commission
m ssionj Gr; 190324
N - mmis9�l�xpires
° `_State of Florida -Notary Public
Commission NoC 1` = Comm(i5eW # GG 190324
February 26, 2022%,Eo,,
o?c'- MY Commission Expires
February 26, 2022
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6/2/1/ 1 1