HomeMy WebLinkAboutappAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: i ��� Permit Number:
L
COUNTY 0 R I D A1p19
Building Permit Application
Planning and Development Services regE
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 8219 S Indian River DR. Fort Pierce, FL 34982
Property Tax ID #: 3518-313-0002-000-4 Lot No. 3
Site Plan Name: Block No.
Project Name: Angel Canete - New Patio Roof
DETAILED DESCRIPTION OF WORK:
New Insulated Aluminum Patio Roof, 20' x 10'
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 200 Sgft Sq. Ft. of First Floor: 200 Sqft
Cost of Construction:$ ���06 —Sewer Utilities: Sewer _Septic Building Height: 7' 8"
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OWNER/LESSEE:
CONTRACTOR:
Name Angel Canete
Name: Frank Leeland
Address: 8219 S Indian River DR.
Company: re Square lavestm m LLC. DaA(Traa m Caaat Alammum P , ducts
City: Fort Pierce State: _
Address:1268 SE Industrial Blvd.
City: Port St. Lucie State: FL
Zip Code: 34982 Fax:
Phone No.
Zip Code: 34952 Fax:
E-Mail:-angelcan@aol.com
Phone No 772-201-2111 / 772-240-0914
Fill in fee simple Title Holder on next page ( if different
E-Mail m.bennan@tcaproducts.com
State or County License County Certification Number 2422
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Thomas P. Ameft, P.E.
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 5"o Madner3treet suite 110
Address:
City: Tampa State: FL
Zip: 33009 Phone (813) 374-2403
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to clothe 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
wrTH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Sig ure of Owner/ Le/Contractor as Agent for Owner
Sig ure of Contract
cense Holder
STATE OF FLORIDA
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STATE OF FLORIDA
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The forgoing instrument was acknowledged before me
this ay of -S>7A 2011 by
The forgoing instrument was acknowledged before me
thisQeday of l oV 204 by
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Name of person making statement.
Name of persdn making statement.
Personally Known OR Produced Identification
Personally Known
OR Produced Identification
Type of Identification II
Producedu
Type of Identification
F Produced
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(Signature of
to Pub c- State of Florida )
(Signature of Notary Public- State of Florida)
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October 22 2022
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