HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date y r Permit Number: a1a`t5�1
ST. LWCIE
COU�NT�Y
RECEIVED
APR 19 2021
Building Permit Application Pormltting Departm®Y1t
Planning and Development Services St. Lucie Coulrty
Building and Code Regulation Division Commercial_ Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: SLC-�`� �ibo� �+►� h�� 'b�y�j
PROPOSED IMPROVEMENT LOCATION:
Address: 5707 Spindle PL Fort Pierce, FL 34982
Property Tax ID #: 3410-503-0017-000-4 Lot No. A
Site Plan Name: PALM GROVE S/D Block No. 6
Project Name: Donald Mancuso. Aluminum Room
DETAILED DESCRIPTION OF WORK: "
New 10' x 24' Aluminum Room with Acrylic Windows over New Slab.
New Electrical Meter Second Electrical Meter
FCON'TRUCT'ON INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric . Plumbing
Total Sq. Ft of Construction: 240
Cost of Construction: $ 16500
—Sprinklers _ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height: 93"
'OWNER/LESSEE:
CONTRACTOR:,_
Name Donald Mancuso
Name: Mariano M. Berman
Address: 5707 Spindle PL
Company: TB Square Investments LLC. DBArrreasure Coast Aluminum Products
City: Fort Pierce State: _
Address:1268 SE Industrial Blvd.
Zip Code. 34982 Fax:
City: Port St. Lucie State: FL
Phone No.
Zip Code: 34952 Fax:
E-Mail: mancuso11@gmail.com
Phone No 772-201-2111
Fill in fee simple Title Holder on next page ( if, different
E-Mail m.bernrian@tcaproducts.com
from the Owner listed above)
State or County License 32315
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required:
--.slue of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Thomas P. Amett, P.E.
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State: -
Zip: Phone:
Address: 5601 Mariner 8tmet—Suite 240
City: TAMPA State: FL.
Zip: 33609 Phone (813) 374-2403
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
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 attornev before commencing work or recording vour Notice of Commencement.
Sig ature of Own / Lessee/Contractor as Agent for Owner
Signature -of Contractor/License Holder
STATE OF FLORIDA . _
STATE OF FLORIDA s.
COUNTY OF w C
COUNTY OF S-k. L O c-Vt
Sworp4o or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Pres nce or Online Notarization
Physical Presence or Online Notarization
this t�o day of by
this day ofOt s_�� , 202V by
�.ncs.)Sc� dye
11+�at : q Ana �g t w,a►�f1
Name of person making statement. /
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identificati
Type of Identification
f
Pro uced
Produced tD C_
(Signature of Nota u li -
DEA NA GIVENSr'P'"Notary
of Nota y Public- S da)
Comission0
oTigature
mission No. C 3 4 '� ei4plres: February 23, 2
He • State ofFlorida
4mmission No. O I< HH 086359
J!
Bonded Thru Aaron No
r
ComP
ary 1oF� My Comm. Expires Jan 28, 2025
:_'
National Notary Assn.
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