HomeMy WebLinkAboutAPP (ENCLOSURE)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
' �.J._
•
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462--1578
Permit Number:
Building Permit Application
Commercial
Residential
PERMIT TYPE: A(UM(', Ul
PROPOSED IMPROVEMENT LOCATION:
Address: 2927 SHERWOOD LN FORT PIERCE, FL 34982
Property Tax ID ##. 2421-701-0030-000-0 Lot No. 30
Site Plan Name: SHERWOOD ACRES UNIT 1 Block No.
Project Name: DENICO
I DETAILED DESCRIPTION OF WORK: I
INSTALLING SCREEN ENCLOSURE ' ' r , e
LJ
r
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: S �� 40 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name MARK PETER DENICO
Name: i ( ? tL O'( iQ(� '1fi
Company: ' i `v 'e–z t
Address: 10395 STEVEN DR
City: Pelt CITY State: FL
Address: i' 9-1,511/0' i i otrQ- W
City: ;kV l `. t State.
Zip Code: 33868 Fax:
Phone No.
f
Zip Code:>C{ i Fax:��1'Y
E -Mail:
Phone No �
E -Mail
Fill in fee simple Title Holder on next page ( if different
State or ounty License
from the Owner listed above)
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 CONSTRUCTION LIEN LAW INFORMATION:
�eL
DESIGNER/ENGINEER:
Name: riff _
Not Applicable
( , -1
MORTGAGE COMPANY:
Name:
1- - `6t Applicable
Address + � `' t
btt
Address.
The f rgoing instru ent w s acknowledged before me
this. day of 1 2lJ Eby
City: I bim CW,
Zip: ' - Phone?-,,
State 1- ;
} rt �j�� `"
City:
Zip: Phone:
State.
FEE SIMPLE TITLE HOLDER:
Name:
" of Applicable
BONDING COMPANY:
Name:
"ot Applicable
Address:
(Signature of Notary Public- State of F( id P
Commission No. 1�1 � al firanceneN
yf�aF o� UyCOinmrsS@
n �XPrres QS;� 3�
Address:
FRONT
City:
SUPERVISOR
City:
VEGETATION
Zip: Phone:
MANGROVE
Zip: Phone:
COUNTER
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 wilt, 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 CQMME I MENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU IN D TO OIBT N FINANC[NG, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO CE OF CO CEMENT."
Rev. 2/7/19
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Signatu a of Own a/Con etor as Ag nt for Owner
Signatur of Contracto ieens Halder
a
,
STATE OF FLORIDA
COUNTY OF � — ,Li C l
STATE F FLORIDA^ )
COUNTY OF �� x.-4 Ce -
1...
c -The
The forgoing instru ent was acknowledged before me
thi ' ��rday of ZO�by
The f rgoing instru ent w s acknowledged before me
this. day of 1 2lJ Eby
OL
Name of person Making statement.
Personally Known OR Produced Identification
Name of person making statement.
Personally Known L,QR Produced Identification
Type of Ide i ation
Type of Identification
Produced LN 1+f0 �kw
04AX/k-�
Produced
(Signature of Notary Public- State f orlda }
/�
Commission NGGa4 loS 9 (Seal)
(Signature of Notary Public- State of F( id P
Commission No. 1�1 � al firanceneN
yf�aF o� UyCOinmrsS@
n �XPrres QS;� 3�
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19
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