HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l /
Date:5118/17 Permit Number: I I n-00is
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-_ __• -___ _ Building Permit Application in 0 2 2011
Planning and Development Services PER;✓ITTINIG
Building and Code Regulation Division _ St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982 -
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Other II
PROPOSED IMPROVEMENT LOCATION:
Address: 5047 N AtA Fort Pierce, FL 34949
Legal Description:
Property Tax ID #: 14142200007
Site Plan Name:
Project Name: Shade Canopy
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No.
Block No.
Installing a 10' x 20' 2-post cantilever shade canopy with removable fabric membrane. This canopy will
replace an existing free-standing awning. ex)_s-Fthc� eoncre4e .
CONSTRUCTION INFORMATION III
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HVAC Gas Tank ❑Gas Piping
Electric 0 Plumbing ❑Sprinklers
Total Sq. Ft of Construction: 200
Cost of Construction: $ 5000
❑ Shutters ❑ Windows/Doors
❑ Generator ❑ Roof = Roof pitch
S Ft. of First Floor:
Utilities: Sewer ❑ Septic
Building Height: 8.
OWNER/LESSEE:
CONTRACTOR:
NameSeaward Atlantic View Condo
Name: Theodore Willems
Address: 835 20th Place
Company: Don Willems Builder
City: Vero Beach State:FL
Zip Code: 32960 Fax:
Phone No.
Address: 701 Hartman Rd.
City: Fort Pierce State: FL
Zip Code: 34947 Fax:
Phone No. 772-519-0167
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: martyatdonwillemsbld@comcast.com
State or County License: CGC1504958
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION, LIEN LAW INFORMATION: III
Name: John P.Longnocko,
ArlrlrPCC• III NoM Pled Cmd
City: vanBmn
Zip: 72966
479-410-220e
State: Az
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
City:
Zip: Phone:
State:
BONDING COMPANY:
Name:
_Not Applicable
Address:
City:
Zip: Phone:
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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or anscovenants 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
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Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDAC
COUNTY OF
The forgoing instr t was acknowledged before me
m n
thisQ2L day of a4J:_, 20 qby
(Name of person acknowledging)
PerMnally Known ent" ieetiOR
Type of Identificati ced dUL1E J. 3UETTLER
?i My COMMISSION # PF223607
Commission No. • • r EXPIRES Obtilljr 31 MHO
- Flv,mra, .e
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this � day of � 20 a by
(Name of person acknowledging)
of Notary P/tlic- State of
Known X OR Produced
Type of Identification P o
Commission No. Er MY CO tFFp238f
EXpIRE'S 0= 31 2019
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