HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONow
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date (/A O�i /) SCAN
M Permit Nui
BY
® St. Lucie Cou*
- -- -- Building Permit Appl
Planning and Development. Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
JUN 1 19
Rigm,I 1py U&polrtRiTulant
St,LUC.de,OUnty, R
Residential X
PERMITTYPE:G�OSUlzC�
t
`PRQPOSED'INIPROVEMENTL"OCATION: `
Address: 720 NETTLES BLVD
Property Tax ID #: 45.02-501-0906-000-2
Site Plan Name:
Project Name: Smith Screen Room
Install new screen room with composite roof on existing concrete slab
CONSTRUCTION�INFORMATION:
Lot No. 720
Block No.
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _Shutters _ Windows/Doors
_Electric _Plumbing
Total Sq. Ft of Construction: 225
Cost of Construction: $ 6000.00
Sprinklers _ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: -
CONTRACTOR: ' .
Name-rodd S Smith
Name: Karl Kandel
Address:3120 Tanglewylde AVE
Company: White Aluminum
City: Lake Placid State: _
Zip Code: 33852 Fax:
Phone No.
Address:2880 SW 42nd Ave
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No 772-212-1400
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail
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.
rJ.
nSUPPCEME�ITAC_CONSTRUCTIOI� LIENfLq,CN INFORMATION
� t�`pr'
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name: seaside Engineenag/EE and Roske
Name:
Address: 4265 both Court
Address:
City: vemBeach
State: FL
City:
State:
Zip: 32967 Phone 772-202a006
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
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 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."
Ad %W"
/A,/�o /E ,A..wtl_A 0
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature o Contractor icense AcIffer
STAOUTNTY OFE OF ORIDq-�, /ttr�
COUNTY OFSTATE OF ORIDA 0n
J
The forgoing mstrument was acknowledgepefore me
this 210 n by
7 d✓a�yl� of/(.n�' 1���,
The forgoing instru nth ways arcs knowwltedge efore me
this day l� 20 by
y n (��I
L,a 1 K andtJ�/
]ofV �l.lif
I /l 1. a
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Y__
Type of Identification
Type of Identification
Produced
AA
Produccee�}d'� 4
(Signature o otary Public- State of Flo
(Signature of ota I' -
uu'd
Commission No. 40 NO vela St mot Florida
ry PStilBMkQ ejState �F lorio
Commission No. i�
!:g
QG 235 I z, My Commi.jim GG 235102
re. 0710412022
� � (� Z Eyp�re: Q 1/"0 r� 235102
022
REVIEWS
F T
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/1/19