HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLMED FOR APPLICATION TO BE ACCEPTED
Date: Q — I O Permit Number:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
RECEIVED
A
FED 18101U
Building Permit Application
Permitting Dv
St. Lucie dn@nt
Commercial Residential XXXXXXXX
PERMITTYPE:
PROPOSEDAMPROVEMENT LOCATION:• t:
Address: 2023 Laurel Oak Lane
Property Tax ID #: 4425-605-0048-000-2
Site Plan Name: Leon Residence
Project Name: Leon Residence
DETAILED DESCRIPTION'OF WORK:
Installation of Aluminum Insulated Roof with Screen Walls;��� lg,{
[,CONSTRUCTION; INFORMATION:-
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 9425.00
Lot No.
Block No.
Windows/Doors
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR
Name Raymon Leon
Name:Craig Rice
Address:2023 Laurel Oak Lane
Company: Pioneer Screen LLC
City: Palm City State: _
Zip Code: 34990 Fax:
Phone No.
Address:3290 SE Slater Street
City: Stuart State: FL
Zip Code: 34990 Fax: 772-283-3028
Phone No772-283-9197
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Bev@pioneerscreen.com
State or County LicenseSCC046064
It value of construction is 52500 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.
DESIGN
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
Zip: Phone
Zip:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
F
BONDING COMPANY: _Not Applicable
Address:
City:
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING-YnUR NOTIrF OF rOMMFmrFMFNT "
'gn tur o O ner/ Lessee/Contractor as Agent for Owner
Signature ont actor/License Holder
STATE OF L
STATE OFjjFLQQ
COUNTY
COUNTY QF/�/✓t
The f r ing inst i�tr e t was acknowledged before me
thday of ��CL�2�(i by
The for gga�,ng instr ent was acknowledg before me
th��&ay of _����� 2 by
�IIJJJII/JJJI
�PA1 s� �2i�.�
Name o erson making st tement.
Name of p&4on making statement.
Personally Known OR Produced Identification
Personally Known �R Produced Identification
Type of Identifica ' n
Type of Identification
Pronl�'&46,/
Produced1d'{//r��/
(Signat r
Signs
r }a4r tea€ #
":^�'••. BEV L. HADDAD
zo: ap,;
s16 d:,� MY COMMISSION#GG 0093E�e
•, +o? EXPIRES: July 6. 2020
Comm
)
•;e;;?u'e••., BEV L. HADDAD
Commis '•._ �� MY COMMISSION#GG 0093�3e
F'oe1��:"Bonded Thtu Notary Public Under writers
?o= EXPIRES: July 6. 2020
V Bonded Thm Notary Public Undenvdters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.