HomeMy WebLinkAboutBUILDING PER4MIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/01/2019 Permit Number:
SCANNED
:� _ ►_ BY
St, Lucie County
Building Permit Application RECEIVED
Planning and Development Services MAR 012019
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Permitting Department
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x St. Lucie county
PERMIT TYPE: Aluminum Enclosure
PROPOSED IMPROVEMENT LOCATION:
Address: 2001 NW Royal Fem Ct.
Property Tax I D #: 442560500320007
Site Plan Name: Miller, Thomas
Project Name: Miller, Thomas
DETAILED DESCRIPTION OE WORK: -
An aoorox. 31 x 40 Dool/iacuzzi enclosure mansard/ 1/2 mansard
CONSTRUCTION INFORMATION: =
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _Shutters
_Electric _Plumbing _Sprinklers _Generator
Total Sq. Ft of Construction: 1,240 Sq. Ft. of First Floor: _
Cost of Construction: $ 15,834 Utilities: —Sewer _Septic
Lot No.
Block No. 18
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE; '•
CONTRACTOR:
Name Thomas Miller
Name: Larry Henke
Address: 2001 NW Royal Fem Ct
Company: Sloan Construction Group
City: Palm City State: _
Zip Code: 34990 Fax:
Phone No. 954-410-3139
Address: 2205 Commodore Blvd.
City: Melbourne State: FL
Zip Code: 32904 Fax:
Phone No 321-288-8823
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail larryh@scgflohda.net
State or County License CBC1259699
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.
DESIGNER/ENGINEER:
Name: cafe a En9�neerioe
Not Applicable
MORTGAGE COMPANY:
Name
Not Applicable
Address: s3oo N.W. esmn�e.
Address:
City: Doral
Zip: 33166 phpne306.B99�995
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City;
Zip: Phone:
Zip: Phone:
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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 bylaws that
rules, or and covenants 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 CO MENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU O TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU NO CE MMENCEMEffr?'-"
ev.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Si ure of Contactor/License Holder
STATE OF FLORIDA
STATE OF FLORID
COUNTY OF
COUNTY OF I c'� (� Jci.t— l
The forgoing instrument was acknowledged before me.
this_ day of
The forgoing instrument was a fknowledged efore me
this�dayof yIAr.�.rGVI
.20_by
•20�by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identificationy
Type of Identification
Type of Identi�tion
Lr
Produced
Produced r C
(Signature of Notary Public -State of Florida)
(Sign re ofNotary PubfFlorida
Commission No. (Seal)
Co��nnmla$$Ion B FF 927422
Commission No. My Cb�r?9xplres Oct 14, 2019
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
`
I�(
DATE
COMPLETED
'
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
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 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 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 F R IMPROVEMENTS TO YOUR PROPERT-Ys`A NOTICE OF C MMENCEMENT MUST BE RECORDED AND
POSTED N THE JOB SITE BEFORE THE -FIRST INSPECTION. IF YO MEND TO OBTAIN FINANCIN r.CONSULT
WITH Y R LENDER OR AMA�EY9RNBEFORE RECORDING YOURI 0E OF COMMENCFMEMT:"��
as
11
STATE OF FLORIDA STATE OF FLO A
COUNTY OF R COUNTY OF
The for oing instrument was acknowledged before me The fo oing instru ent was acknowledged before me
this May& C&C4,lt 20CC•by this 2rdayof CtPAk- 20Iqby
Name of personLmaking statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification .1_1�
Type of Ider�t+ficatior- Type of Identificoon
Produced (�-L. D] L, Produced �l 0L_
ws CHERIE KEEL•SANABIA
Commission No. . ' • •° Notary Nkalftate of Florida
?°•; CommissionisFF932694
oL„°�P� My COMM. Exnirn• w... .
REVIEWS I CO ONTER I REVIEW REVIEW
ZONING
COMPLETED
(Signature of
Commission No.
PLANS I VEGETATI
REVIEW REVIEW
Mot.,
da
mmt4laRli FF 32694
My Comm. Expires Nov 1, 2019
ATURTLE MANGROVE
REVIEW REVIEW