HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONh
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED J
Date: A- A• D w\� Permit Number: - r�1
`J O Q
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
SL NNED
BY RECEIVED
St. Lucie County
Building Permit Applicati n JUN 04 2019
ST. Lucie County, Permitting
PERMITTYPE: Screen Enclosure
PROPOSED IMPROVEMENT LOCATION:
Commercial Residential X
Address: 5752 Spanish River Rd Fort Pierce, FL 34951
Property Tax ID #: 1312-502-0051-000-4
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Form and pour a 16' X 16' patio slab with 8" x 8" footers
Build a 16' X 16' screen room with an aluminum roof
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
Mechanical
Electric
_ Gas Tank
_ Plumbing
_ Gas Piping
_ Sprinklers
Shutters
_ Generator
Total Sq. Ft of Construction: .266 Sq. Ft. of First Floor:_
Cost of Construction: $ 9,100.00
Utilities: _Sewer _Septic
Lot No. 44
Block No.
Windows/Doors
_ Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameMi@on O Smith
Name: David F Miller
Address:5752 Spanish River Rd
Company: A Quality Construction, LLC
City: Fort Pierce State: P—L
Zip Code: 34951 Fax:
Phone No. 917-853-8031
Address: 3531 S 25th S 25th St
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 461-3038
Phone No 772-343-0805
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 CBC1257739
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: Thomasnmen
MORTGAGE COMPANY: Not Applicable
Name:
Address: 5440 Madnerst
Address:
City: Tampa State: FL
Zip: 33609 Phone 813-374-2403
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: 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 1 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, COM ENCEMENT MUST BE RECORDED AND
POSTED ON jpE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU I"ID TO OBTAIN FINANCING, CONSULT
IT WH YOUR DER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT-"
4��
Signatu of Ow ssee/Contractor as Agent for Owner
-
Signatur of Cont or/License Holder
STATE OF FLORIDA L I
STATE OF FLORIDA
COUNTY OF y (t t
�� I
COUNTY OF 1)CI, IF,
The rgada instr menty , . _ was acknowledgerj.{�by me
day
The f ng instru entry) j acknowledger�by me
this of �.1�-�.I-�� 20� by
this day of �l l 20J� by
Sig VlnI1P.V
Name of person making statement.
Name of person making statement.
/
/
Personally Known OR Produced Identification ✓
Personally Known OR Produced Identification
Type of Identif
Type of Iden�tiop),'
--jj-- CL
Produced
Produced
(Signature of Notary Public -State of Florida)
(Signature
of No
;.•w. .,, KAREN S. INIELSEN
°*`State Public
Commission No. "p.o"''., � j�EN S. NIELSEI
a -
mission No.
�° of Flon ary
missio d 207484
3: �;St too Florida-NotaryPubic
is
°y = Commission # GG 2074
4
"," My Commission Expires
�.,.5
une 12. 2022
SEATURTLE
REVIEWS
FRONT
NS
VEGETATION
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev,t/7fiy