HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t'
Date:1\N `� Permit Number: �1 Y1' �1
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Building Permit Application �: 7n111 p7
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 _ m ^^
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
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PERMIT APPLICATION FOR: Aluminum without concrete
PROPQSEQ IMPROVEMENT LOCATIO„N:
Address: #1 LA PUERTE DEL NORTE
Legal Description: 1 3/4 39 E 1/2 LESS 95 IN ORS 2634-20263 2652-2429 ;266I4-2695 (#1 LA PUERTE DEL NORTE)
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1301-111-0001-000-5
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front25 Back: 40 Right Side: 8 Left Side. 7
DETAILED DESCRIPTION O`F�WOR"K
( STORM DAMAGE ) INSTALL 3" POLY INSULATED ROOF OVER VINYL WINDOW AND SHED
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CONSTRUCTION INFORMATION::
Additional work to be pertormed un�ert �permit—c ecapp y: I
�HVAC GasTankping _Shutters I Windows/Doors
Electric Plumbing Sprinklers O Generator] D Roof Roof pitch
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Total Sq. Ft of Construction: S . Ft,of First Floolr:
Cost of Construction:$ (D?So Utilities: —Sewer El i eptic Building Height:
OWNER/.LESSEE::. ,`:CONTRACTOR:
NameWILL1AM MARSALISI Name: MATTHEW MARKS
Address:#1 LA PUERTE DEL NORTE Company: EAST iCOAST ALUMINUM
City: FORT PIERCE State:FL Address: 913 EDWARDS RD
Zip Code: 34951 Fax: City: FORT PIERCE State:FL
Phone No.772-466-5099 Zip Code: 34982 ;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@HOTMALCOM
from the Owner listed above) State or County License: 24562
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION L'IEN.LAW,IN.FORMATION:.'-::I�
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name:SUNCOAST ENGINEERING Name:—
Address:13630 58TH ST. Address:
City: CLEARWATER State: FL City: State:
Zip: 33760 Phone727-532-900 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name:WYNNE BUILDING Name:
Address:12804 SW 122 ND AVE Address:
City:MIAMI City:-
Zip: 33186 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 forj 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 concurrericy review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessoryiuses 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 withi lender or an attorney before
cornmencing work or recording our Notice of Commencement. _
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIIDA
COUNTY OF_ S?. [.0 t:l E COUNTY OF ST. Lacy
The forgoing instrument was acknowledged before me The forgging instrument was acknowledged before me
thisPY" day ofN®VeMlE-9_ 20IJby thisA(3fdayof AIW&nEl�-L 2012by
Name of person�cnaking statement Name of person making statement
Personally Known r� OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-State o Florida) (Signature of Notary Public-
� DONALD M.HOLMAN
��g 4"ay Q'!, rr DNflflLD M.HOLMAN a�2�t� *gam; N�otau�
• �,.,11"'/, NotaYyubllc•State of Fiorlda _ l,�a�
Commission No. Commission No. ; , Public-State of FI I
•« : Commission#FF 913240 �A ''� Commission FF 91324
' p= My Comm.Expires Sep 20,2019 ePF FIo;,O``• My Comm.Expires Sep 20. 0
".,�"' Bonded
UOrlded throUgh National Notary liisu
REVIEWS FR 1— —ZONMG-- SU RVISTOT PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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