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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: `i 21 Z0 1 E � SG"Permit Number: _ BY � RECEIVED St. Luciecflunty JUN 13 1019 Building Permit Applicatiortermitting Department Planning and Development Services St. Lude county Building and Cade Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT TYPE: Poly Roof Screen Room with Footer PROPOSED IMPROVEMENT'LOCATION: Rear of Residence Address: 120 Banyan Dr. Port aint Lucie, FL 34985 Property Tax ID #: 3419-520-0005-000-7 Lot No.4 Site Plan Name: River Park - Unit 3 - Tract E Block No. 135 Project Name: DETAILED DESCRIPTION OF WORK: - 3" Poly Roof Screen Room - 10'x 16' - 7.5' wall height - 18x14 screen - 1 door - white - no gutter - extend existing slab with 8"x 8" monolithic Tooter. � AOD i N. kl'10 6ZI s7N C s lAQ d/ I CoA)0, /L i , slki'rpi"ptili qSX CONSTRUCTION,INFORMATION: Additional work to be performed under this permit— check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _ Electric —Plumbing _ Sprinklers _ Generator _ Roof Total Sq. Ft of Construction: 160 sq. ft. Sq. Ft. of First Floor: 160 sq. ft. Cost of Construction: $ 2, o 0 Utilities: _Sewer _Septic Building Height:7_5' Pitch OWNER/LESSEE: CONTRACTOR: Name Andrei Tverdor, Pres. EASKA, Inc. Name: Robert Maddox - Address: P.O.Box 8604 Company: R. J. Maddox Assoc. City: Port Saint Lucie, FL State: _ Zip Code: 34985 Fax: Phone No. 7 Z� — Address.624 NW Palm St. City: Stuart State: FL Zip Code: 34994 Fax: Phone No 772-621-0685 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail MAOD 04 P401Aq00. (I,O J^ State or County License CGC 047336 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. f c>( Le- SUPPLEMENTALCONSTRUCTION LIEN'LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable N a rn e: Aluminum A=Ciaflon of Florida MORTGAGE COMPANY: _ Not Applicable Name: Address: 3165 McCrory Place - Suite 185 Address: City; odando State: FL Zip:326o3 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 FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of ner/ Lessee/Contr ctor as Agent for Owner Signature f'Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Seim Lurie COUNTY OF 6eirt Lucie The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 21 day of May 20_ by this 21 day of May 20_ by Robert Maddox Robert Maddox Name of person making statement. Name of person making statement. Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Produced sy��,� v`nU«'l V V T r - y .fA 1M QtMdU I<�`"I, V} 1•' l (Signature of Notary Pub ic- t r (Signature of Notary Putt to 9�nE141�tbeuwll€uo,JR CommlaalonAGG261671 �;��, Commission No. GG261671 g sJanuary24,2023 ''COFF19" (B me GG26167M • COmmia n�N G261671 Commission No. Explres 24.2023 Duel" onr✓a" A a '1fOrrl°� Boadedmw BAItHoavrWora REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2///19