HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
BY
ter iv i l , St. Lucie County REcMVED
OCTo2 2019
Building Permit Application tu
Planning and Development Services per St. WLu Department
St. cle County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE:SCREEN ROOM
PROPOSED IMPROVEMENT LOCATION:"
Address: 5820 SPRING LAKE TERR.
Property Tax ID #: 1312-503-0169-000-7 Lot No.396
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:' --
BUILD 3 WALL SCREEN ROOM W/4"POLY ROOF W/ FOOTER
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 16,300.00 Utilities: —Sewer _Septic
Windows/Doors
Roof Pitch
Building Height:
,OWNER/LESSEE:"'
CONTRACTOR: z.
NameGREGORY STEENBURGH
Name: MATTHEW MARKS
Address:5820 SPRING LAKE TERR
Company: EAST COAST ALUMINUM
City: FORT PIERCE State: _
Zip Code: 34951 Fax:
Phone No.201-0189
Address:913 EDWARDS RD.
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 722-464-7603
Phone No772-464-7600
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail ECAPINC@HOTMAIL.COM
State or County License24526
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 CONSTRUMON LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: FLORIDA ALUMINUM ENGINEERING Name:
Address:5440 MARINERST. Address:
City: TAMPA State: FL City: State:
Zip: 33609 Phone 813374-2403 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: — Phone:
BONDING COMPANY: _Not Applicable
Name:_
Address:
Zip:
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."
Sign oOwner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 5 L vc : R,_
COUNTY OF 6} L.cJ<i 9__
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this I day of0k 20L by
this I day of OC.A- 201_1 by
f^�� e %c_ryk�
yk_,A�s
Name of person making statement.
Name of person making statement.
Personally Known _CZ`- OR Produced Identification
Personally Known �_ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
gna re of Notary Public -State of Florida
Aigtialure of Notary Public -State of Florida )
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Commission No. CC ))I €.—�d? Not6 glic-state of Florida
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Commis °k:._ Notary=StateofFlorida
Commission p GG 257549
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My Comm. Expires Sep 11, 2021
�'` My Comm. Expires Sep 11, 2022
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Rev.2/7/19