HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r�
Date: tI��0.1�� Permit Number:
[on
ECEIVED
-- -- - _ Building Permit ApplicatR 12 2019
Planning and Development Services County, Permitting
Building and Code Regulation Division ---
1300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: Screen Room
PROPOSED IMPROVEMENT LOCATION:
Address: 5104 Seagrape Drive Ft. Pierce, FL 34982
Property Tax ID #: 3402-608-0259-000-9
Site Plan Name:
Project Name:
Lot No. 3
Block No. 4
C
DETAILED DESCRIPTION OF WORK:
Screen room with insulated roof on existina concrete
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical' _ Gas Tank _ Gas Piping
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:yYlb
_Shutters —Windows/Doors
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Cost of Construction: $ J{d e� Utilities: _Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Timothy Brown
Name: Gary Whigham
Address: 5104 Seagrape Drive
Company: South Florida Aluminum Products
City: Ft. Pierce State: _
Zip Code: 35982 Fax:
Phone No. 508-400-5525
Address:4807 So US Hwy 1
City: Ft. Pierce State: FL
Zip Code: 34982 Fax: 772-466-1074
Phone No 772-466-0913
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail sfapbooks@soflalum.com
State or County License
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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
c Name: 74oms f ArrP h
_ Not Applicable
%4!�_
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
XI- //0
Address:
City: Tc, fix_
Zip:sFeei �_ Phone U1
State:
3
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
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 Countyy 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: YO R FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEPENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JO ^ SITE BEFORE r THE FIRST INSPECTION. IF YOU IMEND TO TAIN.FINANCING, CONSULT11
as Agent for Owner
STATE OF FLORIDA
COUNTY OF ST. Lucie
The f ing instrument wa acknowledge before me
this day of, 20 by
Liz r/ t,J h 1 e=h 4_ YY k
Name of plerson making st ement.
Personally Known OR Produced Identification
Type of Identification
REVIEWS
Holder
STATE OF FLORIDA
COUNTY OF ST.LUCIE
The forgoing instrument was acknowledged before me
thisE day of moo / 1.20Z7 by
44 F� Wh/ � /& ki-3,
Name of person making�sttaatt ment.
Personally Knowny OR Produced Identification
Type of Identification
Produced
MY COMMISSION # FF($¢Jl�6
g Commission • '_; MY COMMISSION g56903138
EXPIRES January 24. 2020 EXPIRES January 24. 2020
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FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW