HomeMy WebLinkAboutSolomon ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
O �I
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERrTnIT APPLICATION FOR: Solomon Res
Address: 12793 NW Cinnamon Way
Property Tax ID #: 4425-602-0031-000-1
Site Plan Name: Solomon Residence
Project Name: Ronald Solomon
Installation of Screen Enclosure and Installation of Aluminum Insulated Roof
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit– check all that apply:
Mechanical
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 11,000.00
Name Ronald Solomon
Address: 12793 NW Cinnamon Way
Lot No.
Block No.
Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Sprinklers _ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
City: Palm City State: _
Zip Code: 34990 Fax:
Phone No. 910-574-5799
E -Mail: ronsolo306@aol.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name:Craig Rice
Company: Pioneer Screen LLC
Address: 3290 SE Slater Street
City: Stuart State: FL
Zip Code: 34990 Fax: 772-283-3028
Phone N0772-283-9197
E -Mail Bev@pioneerscreen.com
State or County LicenseSCC046064
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work gf-recording M4aqr Notice of Commencement.
Signature of Owner/ a see/Contractor as Agent for Ownerignature
o on actor/Lice se Holder
STATE OF FLOR)t
COUNTY OF
STATE OF F 1 �
COUNTY OF
Swor to (or affirmed) and subscribed before me of
ZPhysical
Swor to (or affirmed) and subscribed before me of
Pres nce or Online Notarization
this day of 2020 by
Physical Pres ce orOnline Notarization
this day of PVP 2020 by
C qty
Name of p n making statement.
Name of pe n making statement.
Personally Known V, OR Produced Identification
Personally Known el"�' OR Produced Identification
Type of Identification
Type of Identification
duced
AnA
oduced _-
AA
(ate of Nota , < fie; tate o D it R Y
(Signature of Notary + p #ate o LSE CARNEY
°
Notary
�r Q; Nota Public State Florida
s_.: e•,,1
;r°.v -%=
,• at Notary Public - State of I rida
COmmISSIOn NO. o' Commissio 8920
a" o` Commissi¢ 35 0
Commission No. ,� _ !SL &
F •, omm. Ex ices Jul 24, 2023
of F ,: y Comm. Ex fres J 1 24, 2023
Bonded through National Notary Assn.
Bonded through National Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Re—v. 5/6/20