The URL can be used to link to this page

Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFOOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I 1 d � SC N EDermit Number: j l 2, St. Lucie County COUNT RECEIVED Building Permit Application Planning and Development services APR 29 2019 Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL34982 ST. Lucie County, Permitting Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residen is PERMITTYPE: Screen room PROPOSED IMPROVEMENT LOCATION: Address: 6521 Las palmas Property Tax ID q: 3415-504-0035-0004 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: Form and pour a 10' X 21' patio slab with 8 x 8 footers ZOOO Build a 10' X 21' screen room with an insulated aluminum roof CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: Lot No.31 Block No. _Mechanical _Gas Tank _Gas Piping -Shutters —Windows/Doors _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Z l to 0 Sq. Ft. of First Floor: Cost of Construction: $ 800"0 Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Chortip Kutil Name: David F Miller Address.6521 Las Palmas WAY Company:A Quality Construction City: Port St. Lucie State:.' t— Zip Code: 34952 Fax: Phone No. Address:3531 S 25th St City: Fort Pierce State: FL Zip Code: 34952 Fax: 461-3038 Phone No 343-0805 E-Mail: Fill In fee simple Title Holder on next page (if different from the Owner listed above) E-Mail Aquality0l@bellsouth.net State or County License CBC1 257739 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: 1CR/CIV0I1mCrm IVOL Appiica Ole I�. MORTGAGE COMPANY: Not Applicable RA Dunlea Nl- Address:1513 Cervantes Place Address: City: The villages State: FL City: State: Zip: 32159 Phone 772-265-5444 Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable I BONDING COMPANY: _Not Applicable Name: 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 FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMM ENi MUST BE RECORDED AND POSTED ON E JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INT D TO OBTAIN FINANCING, CONSULT WITH YOU ER OR AN ATTORNEY BEFORE RECORDING YOUR NOTI OF CC MMFNCFMFNi_" Si ature of Owner ssee/contractor as Agent for Owner Signature of ntractor/License Holder STATE OF FLORIDA L STATE F FLORIDA COUNTYOF t`", . l I) Ct, IF COUN OF t If - �, C' The Xfr@g�ing instrum nt was, cknowledge efore me this day of 20��by The fo ng instru ent was acknowledge efore me this ay of 20Jby ante 6f person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identi ' on Type of Identificatio Produced Produced (Signature of Not ry Public- State of Florida J - ignature of Notary Notary Publii��i Commission No. �N S. NIELSEN YP�s��; state o Florida -Notary PutIi t.o7, K$ARE[V S. NIELSEN mmission No. ;� ��:'_stat SEai rida-Notary Pub =so Commission # GG 2074 = Commission # GG 20748 - Ex ire 'do 1.111 My Co m mission June 12, 2022 ""�� J na 12, 2022 REVIEWS FRON NS VEGETATIO COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE, COMPLETED Rev. 211119