HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 15 ` Permit Number: IROS- 0//
• RECEIVED
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Building Permit Application MAY 2015
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 Residential X
PERMIT APPLICATION FOR: Aluminum without concrete
,.PRO,O,POSED'I
MPROUEIVI;ENT.LOCA1'LON.:-
Address: 6605 S INDIAN RIVER DR. FORT PIERCE FL. 34982
Legal Description: 12 36 40 BEG AT INT OF 5 BDRY LIOF N 276.5 FT OF GOVT LOT 2 AND W SHORE LI OF IND RN,RUN W 92.44 FT TO
W R/W LI S IND RIV DR, TH CONT W 316.62 FT, TH NWLY 105.19 FT, TH E 409.28 FT TO IND RIV,TH SL Y
Property Tax ID#: 3412-141-0003-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRI`PTI0N-0F WORK
INSTALL 3 WALL SCREEN ROOM UNDER EXISTING HOUSE ROOF ON EXISTING CONCRETE
-CONSTR.UCThOWNFORMATION . ..
Additional work toa Dertormed under this permit—check all that appy:
0HVAC Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric 0 Plumbing OSprinklers E Generator 0 Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction: $ 1275.00 Utilities:Sewer Septic Building Height:
OWNER/LESSEE P _ CONTRACTOR,
Name RYAN HUFF Name: MATTHEW MARKS
Address:6605 S INDIAN RIVER DR. Company: EAST COAST ALUMINUM
City: FORT PIERCE State:FL Address: 913 EDWARDS RD.
Zip Code: 34982 Fax: City: FORT PIERCE State:FL
Phone No.772-285-7169 Zip Code: 34982 Fax: 772-464-7603
E-Mail: Phone No. 772-464-7600
Fill in fee simple Title Holder on next page(if different E-Mail: ECAPINC@HOTMAIL.COM
from the Owner listed above) State or County License: 24526
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
u �
SUPPLEMENTAL CONSTRUCTION UEN-LAW�fNFORIVIATION: '
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEESIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City.
Zip: Phone: 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 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 jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
44, kj\L �� �� s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S—C Luc tb COUNTY OF ST, Luc+E
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this y day of AIA Y 20 Pt by this 7*"' day of Mal 20 L by
M 9 77*9V m 4Cy-r A?ATTNEw N&a lics
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known /OR Produced Identification Personally Known 4��OR Produced Identification
Type of Identification Produced Type of Identification Produced
,, NALD (1�4��LMAN
Commission ••gig DONALD f4AQA .MAN Commission No.
MY COMMISSION#EE126749
=••• MY COMMISSION#EE126749
, 2015
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Revised 0 1 407 39MI53 Ftoddalloterj&rv10e.0=
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS