HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date Q 'V Permit Number:__
FI eVrg�"D
Building Permit Application I
OCT 0 8 2018
-g and Development Services
7 and Code Regulation Division Permitting Department
rrginia Avenue, Fort Pierce FL 34982 I f3 r L
: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: Aluminum with concrete
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PROPOSED IMPROVEMENT LOCATION:-,t%AhIp
Address: 5431 PLACE LAKE DR, FT PIERCE, FL 34951���v
Legal Description: PORTOFINO SHORES PHASE TWO LOT 198 coun(y
Tax ID #:131250200990002
Site Plan Name:
Projeclt Name:
Setbacks Front N/A Back:7.75
DETAILED DESCRIPTION OF WORK:
Right Side: 11 Left Side: 11
Lot No.198
Block No.
14 F i X 38 FT CONCRETE SLAB, SAME SIZE ALUMINUM SCREEN ROOM, 20/20 SCREEN AND
ALUMINUM KICKPLATE WALLS, AND COMPOSITE ROOF PANELS
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit —check all that apply:
11HVAC Gas Tank ❑Gas Piping Shutters ❑ Windows/Doors
Electric ElPlumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 532
Cost of Construction: $ 17590.00
S Ft. of First Floor: _
Utilities. Sewer 0Septic
Building Height: 8_5
,OWNER/LESSEE:
CONTRACTOR:
Name TIM & KAREN ERICKSON
Address: 5431 PLACE LAKE DR
Name: CLIFFORD WELLS
Company: TREASURE COAST HOME IMPROVEMENTS, INC
Address: 873 SW CALIFORNIA BLVD
City: FT PIERCE State: FL
City: PORT ST LUCIE State: FL
Zip CI de: 34951 Fax:
Phone No.218-340-8004
Zip Code: 34953 Fax: 772-676-3783
E-Mail:
Phone No. 772-263-9287
Fill in fee simple Title Holder on next page ( if different
E-Mail: cliffw5050@gmail.com
from the Owner listed above)
i
State or County License: CRC-057901
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW JINFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: t.,„ .�-�c I Name:
Address: a-i h5 -rq •" 16 .6
71, L S.P:,- A
City: JPZ, -
State: d=L
Zip: Phone qyl-4ESG---7s35
I
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
N a mne:
Address:
City:I
Zip: I Phone:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
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 cons Iideration 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 fol�owing 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
rnmrmanrina wnrk nr rernrding vnur Nntire of Commencement.
Lie-, 2,X
Signitur caner Lessee/Contractor as Agent f
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Signature ofVb6n ctor/License Holder
OF LORIDA
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STATE OFRIDA
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The fo oing instrument was acknowledge efor
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ame of person ing statement
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Name of pmaking statement.
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Personally Known OR Produced Identificat
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Personally Known OR Produced Identificati
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Type of Identification
Type of Identification
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Produced
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Produced
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(Signature
of No Public- State of Florida)
(Signature of Nota ublic- State of Florida
Commission
No. (Seal)
i
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DA I E
COMPLETED
Rev. 8/2/17