HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �\1.,\1 \1 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 with concrete
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PROPOSED-�IMPROVEM'ENT`LOCATION:,- -- v.
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Address: 736G-NWi5th--ST 5--im
Legal Description: PORTOFINO SHORES LOT 485
Property Tax ID #: 131250101440000
Site Plan Name:
Project Name:
7e.,
Setbacks Front N/A Back"-` ` Right Sided At ✓! Left Side- —
Lot No.485
Block No.
DETAILEDaDESCRIPTION OF W.ORK;;
ALUMINUM SCREEN ROOM & COVERED PATIO COMBO, SCREEN ROOM 14'-0"X27'-9" WITH
CONCRETE PERIMETER FOOTINGS; COVERED PATIO 8 FT X 8FT, TWO 2'X2' ISOLATED
CONCRETE PIERS - -VI abr is f4Vers.
CONSTRUCTIONI N FORMATION.
.
Additional work to je performed under this permit- check
11HVAC ❑Gas Piping
a "
app y:
Shutters
❑ Windows/Doors
L_J
Gas Tank
_
0
❑Sprinklers
E]Generator
F Roof Roof pitch
Plumbing
To alElectric
l Ft f Construction:
S of First Floor:
�
". Cost of Constr ction: $ 14790.00
Utilities.. Sewer Septic
Building Height:
OWNER/LE ' SEE:.
CONTRACTOR:,
Name
Name: Cr�F
Address: 'S'7 2-9 Ski I tans Ln 42-Q 0,P
Company: TREASURE COAST HOME IMPROVEMENTS, INC
City: F't State:FL
Address: n23 S-,J Ca 5.
Zip Code: _ 31495( Fax:
City: ?. -Sk-Loc2. State:FL
Phone No.9547021459
Zip Code: 34953 Fax: 772-673-3783
E-Mail: RVMAN.DANH@GMAIL.COM
Phone No. 772-263-9287
Fill in fee simple Title Holder on next page (if different
E-Mail: CLIFFW5050@GMAIL.COM
from the Owner listed above)
State or County License: CRC057901
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is requires.
r—.
SUPPLE MENTALMNSTRUCTI'ON LIEN LAW,f'INF0RMATIQN
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
N a me: TARNOWSKI ENGINEERING
Name:
Address: 7360 NW 5th ST
Address:
City: PLANTATION State: FL
City: State:
Zip: 33317 Phone9`'4-727-2027
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
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 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.
Signature f ner/ Lessee/Contractor as Agent for Owner
Signature o C ract r/License Holder
STATE FLORIDA
STATE OF FLORIDA
COUNTY OF-w--
COUNTY OF ---
The forgoing instrument was acknowledg d before me
The for oing instrument was acknowledged before me
O►
this � day of 9► , 200 by
this day of q , 20 11 by
N o f pers n making statement
Na o f'person making statement
Personally n OR Produced Identification
Personally K OR Produced Identification
Type of Identification
Type of Identification
Produced•1.
Produced
(Signature of Notary blic- State of Florida
(Signature of Nota
'
,--
Commission No. ;�",u •.% �N till GNENS
DEANNAMARIEGNENS
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Commission No. _ rr QQ��022023
MYgIpN#GG022023
S: Dece ber 16, 2020
$*' + EXPIRE to derv+riters
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PIRES: Debember'16, 2020
••.'+gpg Ny" _
g•`'� Bonded Thru Notary public Underwriters
d ihn+NotaryPublicUn
Bonded
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REVIEWS FRONT ZONING SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
I I?
DATE
COMPLETED
Rev. 8/2/17