HomeMy WebLinkAboutNiewinski PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
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
Address: 33 Ecuador Way, Ft Pierce, FI 34951
Legal Description: East 1/2 of Section 1 Township 34s Range 39e less the n 1069.59' lying n & W of turnpike feeder rd.
Property Tax ID #. 1301-111-0001-00015 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Enclosing the front and back lanai under existing truss roof with screen.
11HVAC
1-1 Electric
L _l Shutters
❑ Plumbing Sprinklers Generator Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 1500.00
Name Denise Niewinski
Address:33 Ecuador Way
City: Ft Pierce State:
Zip Code: 34951 Fax:
Phone No.917-805-9859
E-Mail:
S Ft. of First Floor: _
Utilities:[]Sewer Septic
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Jeff Jackman
❑ Windows/Doors
Roof
Building Height:
Company: Master Craft Aluminum Products
Address: 1634 SE Niemeyer Cir
City: Port St Lucie State: FI
Zip Code: 34952 Fax: 772-335-0860
Phone No. 772-335-1177
E-Mail: mastercraftaluminum@gmail.com
State or County License: SCC131150586
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
City:
Zip:
Phone
State:
Address:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
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 Counter 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.
Inconsideration 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.
Si nature o actor/ ' ense Holder
Sig ur ner/ L see/Contractor as Agent for Owner
S ORID
SIr L_yc,
STATE OF RIDA
COUNTY OF
COUNTY OF Sf Lc of f
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 15 dayof February 20 22 by
this 15 day of February 2022 by
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Name of person making statement
Name of person making statement
Personally Known ✓ OR Produced Identification
Personally Known 9.----�OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary
(Signature of Notaryublic- State of FloridaOTARY
PUBLIC
t1,Ry,� Sheryl D. Moore
k�',ate'13,1401FAElldhWre
Commission No. STATEE'�i�11.ORIDA
Commission N YPUBUdSeal)
Commit GG945237
o-STATE OF FLORIDA
Expires 1 /15/2024
Comm# GG945237
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fires 1/15/ 4
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17