HomeMy WebLinkAboutBuilding Permit Application~ .
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Building Permit ApplicationRR,'
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 g [)epartment
11
PERMIT APPLICATION FOR: Aluminum without concrete El
Address: 10109 GREATWOODS POND DR.
Legal Description: 33539NVV1/4LESS /YVONMANOR UNITS 1AND 2AND LESSVVO15.5FTLYGOF/YVONMANOR
Property Tax |D#: 2303-211'0025'000'5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: /oLeft Side: 1-6
REPL&CESTORK8DAMAGEP[]LY INSULATED ROOF/SCREEN ROOM ONEXISTING CONCRETE
Adclitional worK to be nertormed under this permit - checK all apply:
HVAC 11 Gas Tank DGas Piping In Shutters Windows/Doors
Electric El Plumbing []Sprinklers [iGenerator Roof Roof pitch
Total Sq. Ft of Construction:.
Cost of Construction: 8760
Utilities:,n Sewer ElSeptic
S Ft of First Floor:
Building Height:
Address: 10109 GREATWOODS POND DR.
Company: EAST COAST ALUMINUM
City: FORT PIERCE State:FL
Zip Code: 3,4945 Fax:
Phone No. 860-883-8130
Address: 913 EDWARDS RD
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-464-7603
Phone No. 772-464-7600
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: ECAPINC@HOTMAIL.COM
State or County License: 24526
If value of construction is $2SOOormore, mRECORDED Notice ofCommencement isrequired.
DESIGNER/ENGINEER:
N a m e: SUNCOAST ENGINEERING
Address: 13630 58TH STREET N. #101
City: CLEARWATER
Zip: 33760 phone 7P7-538-9000
Not Applicable
State: FL
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: PERSHING MOBILE HOME SALES INC
Address: 901 NW 31STA /E
City: POMPANO BEACH FL
Zip: 33069 1 Phone:
MORTGAGE COMPANY: Not Applicable
Narr. _
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:_
Address:
City:_
Zip:
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY 0F_$'7; LGC l
The forging instrument was acknowledged before me
this Z day of Al ov • 2017 by
A� WIn' kf;:
Name of r -so Ing statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public -,State of Elorida 1
Commission No.
"avP'% ONALD M.HOLMAN
,.o�� °o�•%
» • �': �� y Public-- State of Fli
« » Commission, # FF 9132,
My_ Comm. Explrei.. Sep 20.
REVIEWS FRONT ' ZONING S P R I
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTYOF S'T. Lkcie
The forgoing instrument was acknowledged before me
this _2± day of &%y . 2017 by
M�Tttlaw NI mmw r•
Name of person ma g statement
Personally Known OR Produced Identification
Type of Identification
Produced
Al;w^49oy. Las►- —,
(Signature of Notary PubIi = cAa1a Lrlarida 1_
sion No. ,;?Y °�e -
° «��:
DONALD M. HOLMAN
N�6aeieP}�bllc -State of FIOri
_
SSE« » •
CommISS1011 #f FF 913240
±�" •��;�
My Comm. Explfes Sep 20,`2C
VEGETATION I SEA
RILE MENGVEREVIEW REV IR\O