HomeMy WebLinkAboutBuilding Permit Application'v"
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10- I q` Z LQ Permit Number:
0
° 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:
PROPOSED IMPROVEMENT LOCATION:
Address: 7630 Greenbrier CIR. Port St. Lucie. FL. 34986
Property Tax ID #: 3322-700-0064-000-3 Lot No. 59
Site Plan Name: POD 19 PUD II GREENBRIER (PB 41-5) Block No.
Project Name: Rainier! John. Screen Enclosure
I" DETAILED DESCRIPTION OF WORK:
New Screen enclosure 122" x 20' We Q / J E W f0, 9,-,E2S tjly,� c9 PAvterzs - P£ R r'r7 Tyz "Fools®-,5,
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
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: 203,33
Cost of Construction: $ 6640,00
Sq. Ft. of First Floor:
Windows/Doors
Roof
Pond
Pitch
Utilities: _Sewer _Septic Building Height: 10'
:''bWNER/LESSEE:
CONTRACTOR:
Name John J Rainier! Sr
Name: John Wilt
Address: 2530 Country Club DR
Company: TB Square Investments LLC. DBArrreasure Coast Aluminum Products
Address:1268 SE Industrial Blvd.
City: Uniontown State: OH'
Zip Code: 44685-8716 Fax:
City: Port St. Lucie State: FL
Phone No.
Zip Code: 34952 Fax:
E-Mail:johnrpro@yahoo.com
Phone No 772-201-2111
E-Mail m.berman@tcaproducts.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License STATE LIC. # SCC131149842
If value of construction is 2500 or more; a RECORDED Notice of Commencement is required. �013
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. v
M. ImUL NIORTGAG NotApplicaible
a E COMPANY.
Nliame*Tlj(� sP.Amett,'Pz,
anie!
Address: 5601 Madh0r$treet -Suite 240
City': TAMPAAddress:
-
State:, rL,
Zip: BN09 Phone (8111,374,240 ciipty:
S tke:
Phon FEE SIMPLE TITLE HOLDER: _7 --NotAppira�Me BOOING'COPANY.Name
Not Applicable
Addres"S. -Narne:
Acicl,relis:
City:_
. City:—
Zip: --
Phone:'.
Phone:
OWNER,/ CONTRACTOR AFFIDVIT: Application is
herpbj made to obtain a rdrmit-to do the Work and installation as
(:ertify that no work or installation has com
menced k"�) prio ,I d ,rice SI ,r t . the issu a t, f a pe-Mit.
t
ucle-ount makes no representation that isgranting ih
.a;permit',Mll aoociz the permit holderto build the subj,e'ctstrueture,
O)ich is in corZict,with any appmcable fi-(orne Owners � rul6s, bvlaLvs Qr and covenants that may restrict or prohibit such
"i dation
StruCture. ?,ease consult -iDona:n review our with, your Home OwnersA.qsbci, d festrictions,which may apply.
M consideration of the granting othis requested PermIL'I do hereby :agree th;jt I will, in all respects, perform the work
in accordance with the ap
proved Mans, the Floridp Buildin 'C der, and -St. Lucie County'Amendments.
Th e fd-.Jlcmg building permit applicatiorl, are exerm
Inoni undergoing 6full C)nrurrency revieW:,room additions,
ac,cessarystn,jctues; swimming poolsfences, ,cretin rote. ros=!nd eccessory uses to another non-'residential.'Use
VIARNING TO OWNER, Your faifure to Record,) Nm otice of Comence'rnent rn'ay,'result in paVirigtwice for ,
`M-Provernents to your propertv. A'Notice. of Cicyn,me . nccnnentt-n cus' be recorded in,the public records of St.
1_1_16C� County and Posted on theJobsite b.efG1'E'1 the first inspection, 1-f*you intendto, lobtain, financing, consult. with lender or an attorney before -con
...... . . . ........ work or recordi
. . . ........ C�g your Notice of Commencement_
A
essee C
ontractor,ir Agentffor" Nulnat!lre ror Contractor/Li6ense Holder
A E Ci I LORIDA
STATE QfFLORIDA
COUNT% OF COUN w o F affirmed) and SLjbs,-,
b(,.--"are me of Sworn (or' and subscribed before me of
Online 'Iotarizau,,�n re.4; PhysicM Pence or On
d;w of 2020 by line Notarization
v If T_r"�
2020 by
..... ... ... .
making stat mieTjt,
e ma
king statement.
OR Pro u,1"JentHyc.
:a0on' '50r' now,j Pe: ��IIJY K
I Tvp"e idf:nf' OR Produced Identification
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COUNTER I CVtr',,tY
C- State of Fl ric
PgFUq 0'ary Public- NOtary Public
Ann Ann M Gias!
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