HomeMy WebLinkAboutSolorzano ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Address: 12811 NW Cinnamon Way
Property Tax ID #: 4425-602-0017-000-7
Site Plan Name: Ceasar Solorzano
Project Name: Solorzano Residence
Permit Number:
Building Permit Application
Commercial Residential xxxxxxx
Instillation of Concrete Slab with Footer; Installation of Screen Enclosure
Lot No._
Block No.
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:
Cost of Construction: $ 12,730.00
Name Ceasar Solorzano
Address:12811 NW Cinnamon Way
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
City: Palm City State: _
Zip Code: 34990 Fax:
Phone No.954-673-0298
E-Mail: N/A
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Craig Rice
Company: Pioneer Screen LLC
Address: 32090 SE Slater Street
City: Stuart State: FL
Zip Code: 34997 Fax: 772-283-3028
Phone No772-283-9197
E-Mail Bev@pioneerscreen.com
State or County LicenseSCC046064
If 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.
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:—
- Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
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
ATH YOUR tXNMR OR AN ATTORNEY BEFORE RECORDINMYOURNOTIC&OF COMMENCEMENT_"
Signature wner/ Lessee/Contractor as Agent for Owner
Signature o ntractor/License Holder
STATE OF FLORIDA
STATE OF FL DA
COUNTY OF _ �
COUNTY OF � Pk,, ,' Ki
The forgoing instrument was acknowledged before me
this: 2 day of �`�` _ 2 by
The fp i g instrument was acknowledged before me
this ay of Wei' 2 by
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y , a
Name of pe�rsjbn making statement.
Name of pelfs6n making statement.
Personally Known OR Produced Identifica i
Personally Known OR Produced Identification
Type of Ide i .'cation ___
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Type of Identific tion
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Signature of Notary Public- State of Florida }
ignature of Notary Public- State of Florida
Commission No. Seal
(Seal)
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Commission No.� NJtv11SS10N n GG
FX?IRcS: July 6, ?020
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Rev. 21 // P)