HomeMy WebLinkAboutEmmons Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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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
PERMIT APPLICATION FOR: Aluminum/screen enclosure with concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 8752 Cobblestone Dr Fort Pierce FL, 34945
P ro pe rty Tax I D #: 2236-600-0051-000-1
Site Plan Name: Creekside Plat No.1 Lot 46
Project Name: Emmons
DETAILED DESCRIPTION OF WORK:
Lot No. 46
Block No.
Form and pour 12" x 12" concrete footers and install a 22' x 11' aluminum/screen enclosure with poly roof.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank — Gas Piping _ Shutters Windows/Doors Pond
_ Electric — Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 8,290.00 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name George and Heidi Emmons Name: Michael J Newman
Address: 8752 Cobblestone Dr Company: Pioneer Screen Co. Inc. 11
City: Fort Pierce State: F Address: 1682 SW Biltmore St
Zip Code: 34945 Fax: City: Port St Lucie State: PL
Phone No. 201-0792 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
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If value of I-IAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: — Not Applicable
Name: Do Kim & Associates
Address: PO Box 10039
City: Tampa State: FL
Zip: 33679 phone 813-857-9955
FEE SIMPLE TITLE HOLDER:
Name:_
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY: V Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Not Applicable I BONDING COMPANY:
Name:_
Address:
City:_
Zip:
Phone:
Applicable
tDV1i LUNTRACTOR 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 paying4wice for
improvements t your propert :;A Notice of Commencement must be r ded and posted o e jobsite
before the fir spection. If } intend to obtain financing, consul# #h fend'-" attor ey`before
commencin ork or recordi g`your Notice of Commencement. f
of Owner/
STATE OF FLORIDA
COUNTY OF saint Lucie
rL
as Agent for Owner
The forgoing instrument was acknowledge4 before me
this day of 20 by
Michael J Newman
Name of person making statement
Personally Known i" OR Produced Identification
Type of Identific ion
Pro used
(Signaturebf Notary Public- S g q Uc1Ci.da.)
of Cont
STATE OF FLORIDA
COUNTY OF Saint Lude
The forgoing instrument was acknowledged before me
this day of TUG'lc 20�(..jby
Michael J Newman
Name of person making statement
Personally Known OR Produced Identification
Type of Identificatio
Produced
LSignature Of Notary Public- Sta�o.
tea" Mine
puplkc State of Florid
Commission No. GG221434 a#' �p (, c ene Newman
C mission No. GG221434
^ a� MYCOnnir ion GG 221434
f aF sacs Expires 05123r2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION
COUNTER REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE T_ -
COMPLETED
Rev. 8/2/17
Notary Public State of F
;(Sli�cene Newman
My Commission CMG 22
'asfL°a� Expires 0512312022
SEA TURTLE I MANGROVE
REVIEW REVIEW