HomeMy WebLinkAboutBuilding Permit Application ;ALLAPPLiCABLE INFU MUST BE COMPLETED FOR;APPLICATION TO BE ACCEPTED
Dater bt/ Permlt`Nurri4er
s - RECEIVED
-Building Permit Applka#lon JUL 31 2019
Planning and Development Services
'Building and'Gode_Re"gulation'DrVision • Lucie County, Permitting
2300 Virg1n1a'Avenue;Fort Pierce FL 34982'
Phone:(772j;461-15.53, Fax;(772)4624579CoOtnerdal Residential X
PERM.IT,A.PPLICATION :FORS
PIRO-1`k,6: M I& ROVEMe'q LOCATIQ�N
_
Address:. 3400 Bent Pine Drive, Ft. Pierce FL 34951
Legal Description;: Monte Carlo Country Club-Unit One-Lot 283 or 4058-2828
PropertyTax ID#:. 1327-801-0089-000-3 Lot No. 283 -_
Site.Plan Name:,. BlockN.o
Project Name:. March
8kbacks Front 'Back:- Right Side:, Left_Side:
1,f-TA- LEDE$.'QRj,PTION,O`F W:ORCC'
Install Hurricane Screen
i CO45-T.-R1, 7T, N 1OFORIUTATI:Q'N
.Additionalwork to fjGastank,
orme un er t is permit=c ec ,a appy:HVAG E]6as Piping L6 Shutters Q Windows/Doors
Electric. Plumbin . nS rinklers Generator Roof Roof' itch,
TotaiSd.Ft ofCorist'ruction,. 'S Ft.:'of„FirSt Floor:;
Cost of Construction:.$A O SS.�✓ Utilities _Sewer.❑Septic Building Height
!;ObWNiER/'LESS;SEE COI4TR!ACTOAR"
'Name David March Name: John zervopoulos
Addr."ess: 3aoo sent Pine Drive, Company: Advanced Hurricane Protection
;City: Ft.Pierce State:; FL Address: 4517 SE Commerce Ave
Zip-Code:34951 Fax: City: Stuart State:: FL
Zip Code34997
: Fax:'
:Phone Mo: 904-619-7883/904-762-3006
'&Mail: David March l3@hotmail.com Phone No.. 772-220-1200
Fill in fee simple.Title Holder on next_page(if.different: E-Mail: john@advancedhurricane.net
;from the;Owner listed above). State-or Countya:icense CBC1259339
If value of construction is.$2500'or.more,,a RECORRED-Notice of.Gommencement'is requhed.
S�UPPLEMNT,�L{CO,NSTR9UCT1®N;LIN ! tU17'I-N;FORMaTION
DESIGNER/ENGINEER:, Y _Not Applicable M'MORTGAGE:.COMPANY y _Not"Applicable.
'Name: Name:
Address: Address::
Gty State:. City: _ State:
Zlp .Phone zip!, Phone•
FEE SIMPLE TITLEHOLDER: _Not•Ap.piicable: 90NDING COMPANY: _Not:Applicable:
�Narne: Name:
Address: Address:. ._.
`City'. city:.
Zi 'Phone: Zip:. Phone':
Zi'
OWNER[CONTRACTORAFFIDVIT:Application is herebymade to:obtain a'permit:to:do,the work and ihstallation.as indicated:
I certify that no work orinAallation has,commenced,pHbr to,the issuance,of a permit:
St.Lucie'County.makes,no representation that-is granting'a-permit will;authoeize the'permit holder to build the subiect�structure
which isincon lict-with any applicable.Home:Owners Association rules,bylaws or,and covenants-that may'restrict,.or prohibit such.
structure.Please consult wlth your Home:Owners Associatlon and:,revieW your deed for-any restrictions which may apply:;
In corisi-deration of the,grantin-'of his.requesfed,,perrriit;:-I do herebyagre'e that:'l Vvilli-in'all respects,perform the'-work
in-accordance with the-.approved pians;the'Florida�Ruilding Codes`and St.;Lucie;County Amendments:
The,foliowing buiiding-permit applications are exempt'from-undergoing a.fulfconcurrency review:room•additions,
accessory structures,swimming,pools,�fences,.walls,signs,screen rooms:and'accessory uses a n
-to other-:npn4esidential use
WARNING TO OWNER Your failure;to-Record a Notice of Commencement may.resukin your paying.twice for
improvements to your property.'�A Notice of Coinrriencement must be;recorded and posted on the jobsite
b6fore the first inspection. If you intend to obtain.financing;,consult;with,lender:or an attorney before
commencin work"or recordi-n our-Notice of Commencement:
nature-of q_ er/Lessee[ ntractor as Agent for>owner nature C. ctor/License, er
'STATEOF FLORIDA STATE OF FLORIDA;
COUNTY OF:. . Martin COUNTY OF Martin
The'forgoing iristrum'ent was, go before:me, The forgoing,instrumentwas acknow'iedged before,me
th�st�day<of 20a by, this 1 day of-. I dtj ,:20� by
J
John Zervopolous John Zervopolous.
Name;of,,person making.statement Nagie;of person making statement.
Per.•sonalN Known•X_OR:Produ..ced Identification. Personally,known x .OR.Prod'uce'd Identification:
Type of Identification lype!of Identification.
Produced Produced
0,
(Sigriatur of.Notary'Pub (Signat re.of,Notary.Pu6Iic-'Stat2'of Florida
rlPty Nota Pubic state of Flonda
Commission No. -GG13. Mel( 1 Ewoldt ommisslo[r.No: GG1333 0�+` Nq��'Ij b,ic state of Mond
My Commission GG 133395 Mgt1MIA Ewoldt
�+r Expires 0811012021 My Commission GG 133395
foit�o �cAo Expires 08/1012021
REVIEWS FRONT ZONING SUPERVISOR PLANS.. VEGETATION �SEATU.RTLE MANGROVE
COUNTER: REVIEW REV,I£W REVIEW REVIEW : REVIEW REVIEW
'DATE.
.RECEIVED
DATE
COIVIPLETED4
.Rev.-8/2/17