HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO
(MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
_ Date: ` /�'t( �T Permit Number: 2
RECEIVED
Building Permit ApplicatioEDEC 16 2019Planning and Development ServicesBuilding and Code Regulation Division ie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:Aluminum (in fill only)
PROPOSED IMPROVEMENT LOCATION;
Address: 3051 Woodswalk Dr Fort Pierce, FL 34945 C4 a o^KSI(��Q(,�
Property Tax ID#: 2326-600-0025-000-0_ Lot No.20`x""
Site Plan Name: Edwards Block No.
Project Name: Edwards
DETAILED DESCRIPTION OF WORK:
Install a 10'x 8'aluminum/screen enclosure(in fill).
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 1,450.00 Utilities: _Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name James Edwards Name:Michael J Newman
Address:3051 Woodswalk Dr Company:Pioneer Screen Co. Inc. II
City: Fort Pierce State:" Address:1682 SW Biltmore St
Zip Code: 34945 Fax: City: Port St Lucie State:FL
Phone No.332-1533 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
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.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTIO TEN LAW INFORMATION:
DESIGNER/ENGINEER: _ of Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ of Applicable BONDING COMPANY: LAot 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 IMP YEMENTS T YOUR PROPERTY. A NOTICE OF COMMEN ENT MUST RECORDED AND
POSTED ON T JOB SITE RE THE FIRST INSPECTION. IF YOU INT OBTAINNCING, CONSULT
WITH YOUR DER R-AN ORNEY BEFORE RECORDING YOUR NOTI CO MEN NT."
Signat reOwner/Les ee/Co tractor as Agent for Owner Signature of Contractor/ 'cens Holder
STATE O FLORIDA�,( STATE OF FLORI A
COUNTY OF l`st�, �_L�Gi IL COUNTY OF
The for oing instr ent was acknowledged before me The forgoing instr me�ckl nowledg before me
this day of 20 by this day of 20 by
Name of person ma:70R
ment. Name of person making statement.
Personally Known Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Prcfduced Produced
(Signature of No ary Public-St,te of(�F i a (Signature of otary Public-State
Commission No. ��` 3 aR P Notary Public Stat?
�t ssio No. PL e �ta�Public State of or
Franc New an y ancene Newman a
9'r off Exy Commission G 221434 poi nod E Y Coxpi—mmission GG 22143
3
REVIEWS FRONT ZONING SUPER I VEGETATION SEATURTLE M
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2 7 19