HomeMy WebLinkAboutBuilding Permit ,l
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ®��f
Date: Permit Number: r 1Q1y
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Building Permit Application M 2 k 2017
Planning and Development Services PERMITTW:_
Building and Code Regulation Division St. Lucie
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X,
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEM:ENT'LOCATIO :
Address: '158) CY'GSS rr. ( s9r
Legal Description`: ICav PGt�,�k. `l l.� 1 ,8Lit— (Q (��`7
Property Tax ID#: ��/�J- � -bbtD 3'-bb0'a Lot No.�
Site Plan Name: Se— LBlock No.�
Project Name: ctt'sa-'/�
Setbacks Front' Back: Right Side: f Left Side:
DETAILED DESCRIPTION OF WORK:,
- -J�
CONSTRUCTION.INFORMATION:
Additional work toe nerformed
_ under this permit-check all appy:
OHVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing []Sprinklers Generator Roof
Total Sq. Ft of Construction: r�2 3 5 C S . Ft.of First Floor: N1 A
Cost of Construction: $ 54- 1 a/. Utilities:cnSewer 0 Septic Building Height:
OWNER/LESSEE: <'. CONTRACTOR; ..\
Name '(5 Loct u Name:- V1 'I_rtpx
.Address: 5-9 S &—I . Company: �r�' 0
City: S State:, Address: 1 15 V I t✓ C,�1rClI�
Zip Code: 3L05a Fax: City: MAJ,Ins State:
Phone No. "//3 -a(0,2 -5-0-9 Zip Code: 3 2-5 b N Fax:32/-7 Z9-%SD I
E-Mail: LSnoLPhone No, 3a-1- `�29-`jlogS
Fill in fee simple Title Holder on next page(if different E-Mail:Sa'-" Corti
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIG R/ENGINEER: _Not Applicable 75, . MORTGAGE COMPANY: Not Applicable
Name , S ,GM�e �10 to Name:
Address: tr4 Address:
City: OA,"- State:�L_ City: State:
Zip: 31QR lI Phone: Zip: P ne:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: Vot Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Ph e:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or r%ordingyour Nptice of Commencement.
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Signa wn /L see/Agent Si ture of ntr for/License Holder
STATE OF PLO MMe STATE ORIDA���
COUNTY OF COUNTY OF_ ✓G�/1Ol'
The forgoing instrument was acknowledged before me The forg ing ins_tr ent was acknowledged before me
this_day of 20 _by this Unay o 20�_1_by
(Name of person acknowledging) (Name ofp ckno edging)
"f,
I — 2
(Signature of Notary Public-State of Florida) (Sign re ofotary P blit- to f orida)
Personally Known OR Produced Identification Personally Known C OR Pr duced Id ntification
Type of Identification Produced Type of Identification Produced ;3n
Commission No. (Seal) Commission No. —0 3333 a°`:�'p:;a`'� (Sed(JICHELLELEACH
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MYCOMMISSION#FF 063333,� EXPIRES:October 15,2017
8 ry erwces
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE ,
COMPLETE ( S }
INITIALS
Con' L_, ct# B-1145
TRIPOD ALUMINUM, INC.
6915 Vickie Cir. Melbourne,.FL32904 Pool Enclosures a Vinyl&Screen Rooms
(321)729-9695 e FAX(321)729-9507
LICENSED * BONDED a INSURED Vero Beach(772)234-7235
LIC.#SCC131151011 Toll Free(877)529-9695
Engineered for the Future"
DATE 12/1 2010
SOLD TO Pen.5e_ Lcci -
WORK# HOME M E #
MAILING ADDRESS CITY 9"i 5- '6 7-_ZF X 9 7
INSTALLATION ADDRESS CITY?_SL zlp3qff5z-
PROPERTY OWNER PHONE APPROX. DELIVERY DATE
EMAIL ADDRESS
-77-r
1-
7
MESH TY�- 1/4 20 X 20
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(LOi - 77
V
ROOFANS
-APO GABLE DOME
14 L J-W.4 T
FLAT HIP PEAK PORCH
H! J �kt
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OTHER:
UPRIGHTS:
DOORS:
7�
AlfbMiNbIld fteF. WI 11TE WBIRY
J- t
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ieNs-YES NO
CHAIR RAIL:,
7L i
KIGl4P6A*S! 46" 24"
X
GUTTERS:
FRAME COLOR: WHITE BRONZE
RETURN SURVEY: YES NO
COMMENTS
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WE ARE NOT RESPONSIBLE
FOR DAMAGED LANDSCAPING
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This proposal does not become a contract until
accepted and signed by an officer of the Contractor
and if not accepted,any cash payment will be
returned.contractor expressly reserves all MATERIAL AND WORKMANSHIP GUARANTEED FOR 1 YEAR CONTRACT)11,�j�
contractors,mechanics and material man's lien
which may been asserted under any provisions of ANY CHANGES AFTER'FINAL MEASUREMENTS DEPOSIT
law to secure payment of the contract price and WILL BE CH _ LY
may assert and fix the same as a lien upon the real
_ARG &*CC0Re&G
property on which Installation Is made.Purchaser o DEPOS T REQUIR DEPOSIT
agrees to supply electrical power at job site. A surv&r0rrP=plan and complete legal description BAL.DUE
is required on all contracts. I
"Section 601.026.Florida Statutes.(Consumer Protection)provided that..."The buyer has the right to cancel a home solicitation sale until
midnight of the third business day after the day on which the buyer signs an agreement..."
WeWe have re d the foregoing proposed contract and accept the same on the terms and conditions printed on the
'v
reverse de d as stated above. CHECK#
V have foregoing proposed
%' To g p
v re a
reverse d as stated above.
Purcha er: Date 19C 1(0-
THIS PRICE IS BASED ON THE DIMENSIONS
-n
Salesman:
SHOWN ON THE ABOVE
SKETCH
,
V'. SUBJECT TO TERMS AND CONDITIONS ON REVERSE
CL, WHITE-SIGN&RETURN YELLOW-CUSTOMER PINK-FILE