HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 d�1 Permit Nuriiber:
Ilia= 1.9
Building Permit App RECEIVED
Planning and Development Services
Building and Code Regulation Division OCT 2 7 2017
2300 Virginia Avenue, Fort Pierce FL 34982 ' I '
Phone: (772) 462-1553 Fax: (772) 46271578 Commercial ifg�Oe Ah tment
PERMIT APPLICATION FOR: TRlect from dropbox, click
- tit.d=
pRnYP(1SF.t�°IMPRnUFMFRIT.I�n�r. I tN. A° �... �`, .
Address: 2840 BROCKSMITH RD , FT PIERCE
Legal Description: SUBDIVISON OF MC hURLEN FARMS BLK 4 LOT 13 LESS W 193 FT -98.02 AC) (OR 3852-1959)
Property Tax ID #: 2320-501-0066-000-7
Site Plan Name: COLAASUONNO
Project Name: COLAASUONNO . 1
Setbacks Front NIA Back: NIA"=
Right Side: NIA - Left Side: NIA
Lot No. 13
Block No. 4
IN FILL SCREEN WALLS / 150 MPH EXP B / EXISITING CONCRETE SLAB & HOUSE ROOF
CONSTRUCl`ION IN'FORIUTATIO� Q.,..: 9...- - ,.,...
Itiona workto'-be neorme
under, is permit = c lec
a
In
apply:
E1HVAC
IJj
Gas Tank
`.ElGas Piping
Shutters
a Windows/Doors
Electric 0
Plumbing
:- ';yOSprinklers
ElGenerator ;;
Roof Roof pitch
Total Sq. Ft of Construction:
S . Ft. of First Floor:.
2746.00
D
Cost of Construction: $
Utilities:
Sewer
Septic
Building Height:
OWNER%LESSEE
pq
=CO', TRACTOR `
Name COLAASUONNO, PATRICK"MALINA
Name: MICHAEL GOODWIN
Company: JENSEN BEACH ALUMINUM
Address: 1720 NW FEDERAL HWY
Address: 2840 S BROCKSMITH RD
_
City: FORT PIERCE
State: FL
Zip Code: 34945 Fax:
" :i:-
City: STUART State: FL
Phone No. 260-3005
=i
Zip Code: 34994 Fax: 692-9744
E-Mail:
"` '
'"_: +=_=
692-0090
Phone No. -
Fill in fee simple Title Holder on next page (if
different
E-Mail: MICHAELL.OODWINYAHOO.COM .,.. a�
from the Owner listed above)
State or County Licrmse: CGC 1508437
If value of construction is $2500 or more, a i. ECORDED Notice of Commencement is req uirea.
DESIGNER/ENGINEER: _ Not Applica
Name: FBC PLANS & ENGINEERING SERVICES INC
Address: 6272 ABBOTT STATION DR UNIT 101
City: ZEPHYRHILLS State: FL
Zip: 33542 Phone: 866-788-5314
FEE SIMPLE TITLE HOLDER: _ Not.Applicable
Name: 7 •:
Address: -;
City:
Zip: Phone:'"��"
MORTGAGE COMPANY: _ Not Applicable
Name: _
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address: 15,
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit. ,
State:
Not Applicable
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: o r failure`16Ikecord a Notice of Commencement may res i our paying twice for .
improvements to y r r rty. A Notice of Commencement must be r "orde a posted on the jobsite
befor�-� e firstns e i If you intend to obtain financing, consu w n r ran attorney before
rnnafnerlciAL; vl/or o r rdinia vour Notice of Commencement.
of Owner/L'essee/Contract(Lr as Agent for
STATE'OF FLORIDA `
COUNTY OF �s 0C Y
s'ilr:
The forgo' instrument was acknowledged:�before me
thi y of 1�9/`_ 20,�
(Name of person acknowledging )
4
(Signature afNotary Public --'State of Florida )
Personally Known _Z�OR Produced Identification
Type ofIdentificationProduced
Commission No.
MY COMMISSION # FF 173907
Bonded Thd NWN.Public Underwriters
Revised 07/15/201
of
COUNTY OF
The forgoing Instrument was acknowledged before me
tig _ of _t� jf:,/ 20/Z by
(Name of person acknowledging)
(Signatur otary PubII - -tate o Florida )
Personally Known r/ OR Produced Identification
Type of Identification Produced
Commission No.
ANN M. GAUMOND
! EXPIRES: December 7, 2018
Bonded Thru Notary Public Underwriters
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW'
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
i