HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ) (�1�
Date: Permit'Number: ` to ' 0
Building`Permit AP' lication RECEIVE®
Planning and Development Services yo��
Building and Code Regulation Division C li 1�
2300'Virginia Avenue,Fort Pierce FL 34982 PRMITrING
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residentp
FL
PERMIT APPLICATION FOR: Aluminum without concrete
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PROPOSED IMPROVEMENT LOCATION: ,
Address: 20008 Southern Star Dr., Fort Pierce 34945 f
Legal Description: Southern Star Stables S/D(PB 53-24)L'ot 3(10.11 AC)(OR 36,35-1569)
Property Tax ID#: 2215-700- GQo 5 _ddrz O Lot No.3
Site Plan Name: Block No.
Project Name: Cintron, Norberto and Mercy
Setbacks Fron�� Back: �(' ' Right Sider Left Side
DETAILED DESCRIPTION OF WORK:
Screen enclosure on existing concrete and footer..
CONSTRUCTION INFORMATION:
Additional work to, e e orme under this permit—check a apply:.
E1HVAC E]Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing ❑Sprinklers Generator g Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 16,800.00 Utilities:Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Norberto and Mercy Cintron Name: James Brann
Address:5846 NW Bates Ave Company: The Porch Factory LL'C
City: Port St. Lucie State:FL Address: 7356 Commercial Cir Unit 4D
.Zip Code: 34986 Fax: City: Fort Pierce State:FL
Phone No.(772)284-3939 Zip Code: 34951 Fax: (772)465-3252
E-Mail: Phone No. (772)465-6772
Fill in fee simple Title Holder on next page(if different E-Mail: admin@theporchfactory.com
from the Owner listed above) State or County License: CBC 1258459
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Jam.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Suncoast Aluminum Engineering LLC Name:
Address:13630 58th St.North Suite 101 Address:
City: Clearwater State: FL City: State:
Zip: 33760 Phone: (727)532-9000 Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 recording our Notice of Commenceme
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Owner/Lessee/Contractor as Agent for Owner Sig:�O�F
Contractor/L'cense Holder
FLORIDAL ST FLORID
COUNTY OF (.L�L� COUNTY OFc c1L�
The forgoing insrr4m tent was acknowledged before me The forgoing instryment was acknowledged before me
this day of`—( 4/? 20/Jby this day of 1 20 by
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(Name of person acknowledging) (Name of person acknowledging)
P-A_"7JJ LQ)k� P�F� a
Signature o Notar P blic-State of Flor' ) WgVature of Nota P blic-State of FlMr'lentification
Personally Known_ OR Produced Identification Personally Known �R Produce
Type of Identification Produced Type of Identification Produced
Commission No. ''' OREN OAN ROONEY
��� Commission No. BREN(5AaJ)OAN ROONEY
?� Commission#FF 907848 o �.,,
My Commission Expires Commission i FF 907848
M Commission Expires
�'�np,°f ` A u g u s f 06 2 n 1 o
Revised 07/15/201
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