HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: \ l o I ' o5 02qJ
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
i '2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
I '
iPERMIT APPLICATION FOR: Aluminum without concrete
1
PROPOSED- IMPROVEMENT LOCATION: ".
'nrlrlro«• 8732 Cobblestone Dr Fort Pierce. FL 34945
Legal Description: CREEKSIDE PLAT NO. 1 LOT 51
Property Tax ID #: 2326-600-0056-000-6
Site Plan Name: Padilla
Project Name: Padilla
Setbacks Front Back:
DETAILED DESCRIPTIONOF-WORK:
Right Side: Left Side:
Install a 12' x 8' aluminum/screen enclosure under covered roof (in fill only).
.54C'L'L ( . I ,,, � , '6* sc.4"4ZA.
Lot No. 51
Block No.
CO'NSTRUCTIGN INFORMATION.:.'
Additional work to e e orme undert —checkispermit
ElGas Tank Gas Piping
a
apply:
Shutters
Windows/Doors
_
_
I__1
LlElectric 0 Plumbing
❑Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
Sq.of First Floor:
Cost of Construction: $ 1,880.00
Utilities: L_ISewer
0Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Luis and Iris Padilla
Name: Michael J Newman
Address: 8732 Cobblestone Dr
Company: Pioneer Screen Co. Inc. II
Address: 1682 SW Biltmore St
City: Fort Pierce State: FL
Zip Code:.34945 Fax:
City: Port St Lucie State: FL
Phone No. 631-245-1146
Zip Code: 34984 Fax: 772-340-4626
Phone No. 772-340-4393
E-Mail: +
Fill in fee simple Title Holder on next page (if different
E-Mail: pioneerscreen@msn.com
State or County License: RX11066919
from the Owner listed above)
If value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPT E N TTA U C0NSTRUCTIO L�EN;LAIN INFORMATION
,
v
Lek
Y. _ �> T
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY:
✓ Not Applicable
Name:
Name:
Address: faeear"839
Address:
City.-
State:-�
City:
State:
Zip:— Phone-
Zip: Phone:
i
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
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 your propert Notice of Commencement must be recorded and pus on the jobsite
before the fi nspection. If intend to obtain financing, consult wttj�lender or an rney before
corram'c�ici ork or recur n intend
Notice of Commencement. /
c�
Signa ure of Owne Lesse /Contractor as Agent for Owner
Signat re of Contra is nse Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF saint Lucie
COUNTY OF saint Lucie
The forg9ing instrument w4s
acknowledged before me
The for oing instrument was acknowledged before me
day 20LI by
this day of
20� by
this J� of
Michael J Newman
Michael J Newman
Name of person making statement
Name of person making statement
✓
Personally Known V' OR Produced Identification
Personally Known
OR Produced Identification
Type of Identifica 'ci`n
Type of Identifi to
Pr duced
Produ ed '
'; si nature f Notary Public-
I g ry
a of c�rida 1 otary Public state of FI
idpig ture f Notary Publi
o orl a
�+� Notary ublic State of Florida
' `�
Commission No. GG221434
,r F ancene Newman
ez commission GG 221
05/23/2022
atom ission No. GG221434
Frar�cene ewman
- i My Qa �l ion GG 221434
05/23/2022
Dorf` Expires
of Expires
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17