HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 1910-0637
SCANNED
BY
St. Lucie County RCEIVED
• Building Permit Applicati n JAN 1.4 2020
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: Room addition
PROPOSED IMPROVEMENT LOCATION:
Address: 5701 Sunset Boulevard Fort Pierce Florida 34982
Property Tax I D #: 3402 - 609 - 0 4 61 - 000 -1
Site Plan Name:
Project Name: Office/ room addition
Lot No.23
Block No. 64
DETAILED DESCRIPTION OF WORK: I
We are adding approximately 300 square feet to the existing residence on the southwest corner of property
Addi tonal work to be performed under this permit —check all that apply:
Mechanical _Gas Tank
Electric Plumbing
Total Sq. Ft of Construction: 308
Cost of Construction: $ 37000
_ Gas Piping
_ Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic
XWindows/Doors
ARoof 6/12 Pitch
Building Height: 8 foot
OWNER/LESSEE:
CONTRACTOR:
Name Joseph Mammano
Name: H. Dean Roberts
Address: 5701 Sunset Boulevard
Company: Detailed Enterprises
City: Fort Pierce fl State: _
Zip Code: 34982 Fax:
Phone No. 561 - 729 - 6 7 9 6
Address: 565 Northwest Cornell Avenue
City: Port St Lucie State: Fiodda
Zip Code: 34983 Fax:
Phone No 772-475-0112
E-Mail: Jljjd1967@yahoo.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail deanroberts2009@gmail.com
State or County License CRC 1 3 3 1 0 7 3
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
MORTGAGE COMPANY: _ Not Applicable
Name:. Phslmmone
Name:
Address: 7e1 9 Gramercy Dare
Address:
City: onaedononaa State: m
City: iState:
Zip: =19 Phone407 - 521 - 8M i
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
is in Home Owners Association bylaws
which conflict with any applicable rules, 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
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
WITH YOUR LENDER ORR A
ANN
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Signature of Owner/ Less a/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 5*. L.y
COUNTY OF bar. t—JC:t-R
The for oing instrument was acknowledged before me
f4 �
The fo going instrument was acknowledg d before me
this day of 6 20� by
this day of Ci 26 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identificat'lo-n
Z) t.
Type of Identification
Produced 4f-L 13
Produced
(Signature of Notary P lic- State of Florida );
(Signature of Na. I OGNENS
Commission No. a ('{ GG 022023
_ MY CGMMISSION#GG 0220203
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