HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED{
! Date: Permit Number:
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
Address: 8624 Cobblestone Dr Fort Pierce, FL 34945
Legal Description: CREEKSIDE PT NO.1 LOT 66
Install a 10' x 7' aluminum/screen enclosure under covered roof (in fill only).
CONSTRUCTION .IN'FORMATION
Additional work to be performed under tispermit—check4 all apply:
1_1HVAC Gas Tank ❑Gas Piping In _Shutters 1-1 Windows/Doors
Electric Plumbing Sprinklers M Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ 1,360.00 Utilities Sewer Septic Building Height:
01NNER/LESSEE: _
CONTRACTOR.
Name Tonya Martin Brown
Name: Michael J Newman
Address: 8624 Cobblestone Dr
Company: Pioneer Screen Co. Inc. II
Address: 1682 SW Biltmore St
City: Fort Pierce State: FL
City: Port St Lucie State: FL
Zip Code: 34945 Fax:
,Phone No. 409-3678
Zip Code: 34984 Fax: 772-340-4626
E-Mail:
Phone No. 772-340-4393
'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)
It value of construction is $7500 or morei�a:RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTI NrL1EN`IAW INFORMATION
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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: J Not Applicable
Name: 5
Name:
Address:
City: State:
Address:.R —
City:-*WnM-- State:
Zip: 33s s— Phone e„ &sue-qaw
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: a 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 to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first ins ction. If you ' tend to obtain financing, consult with lender or an actor ey before
commencingwo r recordin ur Notice of Commencement. If
Signature of Owner/ Le ee/C ntractor as Agent for Owner
Signature of ontoactor/L' ense Alder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Saint Lucie
COUNTY OF SaiotLucie
The f Wring instru ent was acknowledged before me
The forgoing instr ent was acknowledged before me
day by
this day of
20 by
this of 26A
Michael J Newman
Michael J Newman
Name of person making statement
Name of person making statement
Personally Known t% OR Produced Identification
Personally Known ✓ `OR Produced. Identification
Typ of Identifica '
Type of Identificatio
Pro uced
Produced
(Signature fNotary Public -St
a
ature- f Notary Public- F o i a
Commission No. cc221434
� °t[� Notary Public State of Flori
'P ncene Newman
`5�
y Commission GG 22143
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° to ublic State of Florida
Co fission No. cczz�a3a'�
e Newman
'd+oF Expires 05/23/2022
221434
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17 ,t
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