HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ` o rc�
Building Permit Application
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
PROPOSED IMPROVEMENT LOCATI,O'N Wn
I' _ -P F
Address: 931 Jackson Way Fort Pierce, FL 34949
Legal Description: Coastal Coves-Unit 1 -Lot 31
Property Tax ID#: 1423-802-0033-000-4 Lot No.31
Site Plan Name: Ronco North, LLC Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
.. A
Install an aluminum/screen porch 22'x10' on existing concrete under existing roof. In fill permit only.
CONSTRUCTION INFORMATION k
. ,._
Additional work toe e orme underInGas
permit—c ec a appy:
HVAC EiGasTank Piping _Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers 1:1 Generator E] Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 1,240.00 Utilities:n Sewer Septic Building Height:
01NNf R/LESS'EE CONTRACTOR ' `I-
Name Ronco North,LLC Name: Michael J Newman
Address:931 Jackson Way Company: Pioneer Screen Co. Inc. II
City: Fort Pierce State:FL Address: 1682 SW Biltmore St
Zip Code: 34949 Fax: City: Port Saint Lucie State:FL
Phone No.561.313.1248 Zip Code: 34984 Fax: 340.4626
E-Mail: Phone No. 340.4393
Fill in fee simple Title Holder on next page(if different E-Mail: Pioneerscreen@msn.com
from the Owner listed above) State or County License: RX11066919
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUpPLEIVIENTAL CONS TRUCTION LIEN LAIN INFORMATION..
DESIGNER/ENGINEER: =Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Do Kim&Associates Name:
Address:PO Box 10039 Address:
City: Tampa State: Fl_ City: State:
Zip: 33679 Phone: 813.857.9955 Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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 t ur property. otice of Commencement must be reco d and posted on he jobsite
before the firs I pection. If yo tend to obtain financing, consult with der or an attorn efore
com cin rk or rec rdin our Notice of Commencemen —
� h J
S
_Signata of Owner/ ssee/ gent Signature of Contractor/Llc se. of er
STATE F FLORIDA STATE OF LORIDA
COUNTY OF saint Lucie COUNTY OF saint Lucie
The for oing instru nt was acknowledged before me The forgoing instrpent was acknowledged before me
thisday of r h 20 11 by thisD3 day of en 20 V1 by
Michael J Newman- Michael J Newman
(Name of person acknowledging) (Name of person acknowledging)
ccL�-Qae-ei
(Signature of tary 4Publ' State of Florida) (Signature of Notary Publ' -State of Florida)
Personally Know Personally Known x ' tion
Type of Identifica i,' • ucEREVERLY S WALLACE Type of Identification r 8 BEVERLY
'': MY COMMISSION#GG023777 =MY COMMISSION#Gv0237.77_
Commission No. EXPIRES N04bi�Ir 03,2020 Commission No. EE830 EXPIRES�i oP�fiber 03,2020
Revised 07/15/2014,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS