HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED u
Date:—1��'� Permit Number:
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Building Permit Applicatio , NOV 6 2017 I
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: Aluminum without concrete
PROPOSED IMIPROVEM NT LOCATION ;[
Address: # 10 1aaas ,Qei
Legal Description: 1 34 39 E 1/2 LESS AS IN ORS 2639-2,263: 2652-2429: 266.4-2695
Property Tax ID#: 1301-111-0001-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front25 Back: 15 Right Side: 7-6" Left Side: 7'6"
D:ETAICED DESCR IPTION`OF WORK ` r
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STORM DAMAGE - INSTALL 3" POLY INSULATED CARPORT ROOF i�l X 33
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CONSTRUCTION IN:FORNIATION
.Additional work to e er orme under t is permit—checka apply:
11HVAC E] Gas Tank ❑Gas Piping _Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers 0 Generator ❑,Roof Roof pitch
Total Sq. Ft of Construction: 363 S Ft.of First Floor:
Cost of Construction:$ 6500 Utilities: Sewer Septic Bi�uilding Height:
OWNER/LESS�EE` j ` & CONTRACTOR,
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Name FRANK McLAUGHLIN Name: MATTHEW MARKS
Address:#10 LAGOS DEL NORTE Company: EAST COAST ALUMINUM,
City: FORT PIERCE State:FL Address: 913 EDWARDS RD!
Zip Code: 34951 Fax: City: State:
Phone No.772-318-9041 Zip Code: FORT PIERCE Fax: 772-464-7603
E-Mail: Phone No. 772-464-7600
Fill in fee simple Title Holder on next page(if different E-Mail: ECAPINC@HOT MAIL.COM
from the Owner listed above) State or County License: 24526
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL"CONSTRUCTIONLIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
N a me:SUNCOAST ENGINEERING Name:
Address:1363058TH STREET N.#101 Address:
City: CLEARWATER State: FL City: State:
Zip: 33760 Phone727-532-9000 Zip: Phone:
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FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable
Name:WYNNE BUILDING CORP Name:
Address:12804 SW 122ND AVE Address:
City:MIAMI City:
Zip: 33186 Phone: Zip: Phone: .I
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.
It, 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 Commencement.
471J
-MOL u, IAO�-- ' -�g F--i-N ,
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S7, Lace COUNTY OF ST. LGCtE
The foroing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this L_day of N eVEMSEO- 20(7 by this I?" day of Rr'cVE" 13 f— 20L7_ by
MAT-rifEW MARS MAR194 1
Name of person making statement Name of person akingstatement
Personally Known ✓ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public ature of Notary Public t
DONALD M.HOLMAN P DONALD M.HOLMAN
�P r ,
a. , S� ry Public-State of FI . , y)Publlc-State of Flo id
Commission No. , ( �a fission No. ; Commission#FF 91324
.•= Commission#FF 9132 0 FF9i32ya
�� 2yo My Comm.Expires Sep 20,2019 ;FOFF�d:�'` My Comm.Expires Sep 20, D
Bonded uir '',•
5.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW .!REVIEW REVIEW
DATE
RECEIVED �I 1
DATE
COMPLETED
Rev. 8/2/17