HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLefrD FOR APPLICATION TO BE ACCEPTED
Date: 03/26/2019 SCANNED Permit Number: I ��
_ BY
- St. Lucie County RECEIVED
Building Permit Application APR 0 2 201B
Planning and Development Services
Permitting Departmwnt
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE: Building Renovation
PROPOSED IMPROVEMENT LOCATION:
Address: 11647 Twin Creeks Drive Fort Pierce, FL 34945
Property Tax ID #: 2333-601-0014-000-5 Lot No.14
Site Plan Name: Block No.
Project Name: Sitting Room Addition under existing roof
DETAILED DESCRIPTION OF WORK:
Enclose part of an existing patio under existing roof to create a small sitting room per plan provided.
Additional work to be performed under this permit— check all that apply:
XMechanical _Gas Tank _Gas Piping _Shutters X Windows/Doors
X Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 168 sf
Cost of Construction: $ 48,087.81
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Rudy and Susan Moms
Name: David "Harley" Van Ginhoven
Address:11647 Twin Creeks Dr.
Company: D C Construction 8r Company, Inc.
City: Fort Pierce State: FL
Zip Code: 34945 Fax:
Phone No. (772) 489-3041
Address:1916 21st Ave.
City: Vero Beach State: FL
Zip Code: 32960 Fax: (772) 567-4237
Phone No (772) 360-8571
E-Mail: shovel4life@belisouth.net
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail hadey@ibuildwithcare.net
State or County License CGC1507644
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 CONSTRU LIEN, LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: ML Engineering
Name:
Address: 2030 37n, Ave.
Address:
City: Vero Beach State: FL
City: State:
Zip: 32M Phone (772)sag-125Y
Zip: Phone:
FEE SIMPLE TITLEHOLDER: , Not Applicable
BONDING COMPANY: _Not. Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Tip: 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.
lul
:e the permit holder to build the subject structure
or and covenants that may restrict or prohibit such
deed for any restrictions which may apply.
In consideration of the granting of this requested permit,) 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
PO THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
-MR YOU ENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
4sigkwnerl4essee'?ntractor
as Agen r Owner
Signatui a of Contractor/License Holder
STATE OF FLORIDA nn
STATE OF FLQRIRA
COUNTY OF I rid 1 Cp' r . K�ysZl�
COUNTY OF I h n���'A �iy _K
The forgoing instrument was acknowledged before me
YnCAYCY\
The forgoing instrum��nent was acknowledged before me
this1�dayof 20� by
this�2 day of 26ja by
I
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identifcatigqn ,,�� �/�
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Produced Q G1Y1Vt?YS L
Type of Identification
Produced
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( gn ure of No ryblic- State of Flor"
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ob5ignature of Notary Public- State of Florida) (
04 O ti O
W COMMISSION q FF
Commission No. F179Tt-IZ1 June
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i2rLommission No. Z
PI' EXPIRES:
ao�a9lHuau*1W
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTL
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7119