HomeMy WebLinkAboutBuilding Permit Application•�1
ALL APPLICABLE INFO MUST BE COMPKnr9iI ,5Pg"@) tb BE ACCEPTED
Date:�11 RECEIVED AUG 0 3 2017 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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:'
Address: 7100 SEBASTIAN RD, FT PIERCE, FL 34951
Legal Description: LAKEWOOD PARK -UNIT 11- BLK 150 LOTS 6 AND 7 (MAP 13112N)(OR 3783-882)
Property Tax ID #: 1301-613-0305-000-7 Lot No.5 & 6
Site Plan Name: POLLAND Block No. 150
Project Name: POLLAND
Setbacks Front BacRight Side: Left Side:
DETAILED.DESCRIPTION OF,,WORK:.
14' X 12' (168 SQFT) SOLID ALUMINUM ROOF ATTACHED TO 22' X 36'6" (803 SQFT) SCREEN
ENCLOSURE
[CON 5-IT-RUCTION INfOR'M.ATION:
❑ HVAC LJ Gas Tank
❑ Electric ❑ Plumbing
Total Sq. Ft of Construction: 971 SQFT
Cost of Construction: $ 10,000.00
this permit c ec c a apply:
❑Gas Piping _ Shutters
Sprinklers 11 Generator
S Ft. of First Floor:
Utilities: Sewer ❑ Septic
❑ Windows/Doors
❑ Roof Roof pitch
Building Height:
OWNER/LESSEE:.' .
CONTRACTOR:
NameJODY POLLAND
Name: JON LEVASSEUR
Address:7100 SEBASTIAN RD
Company: EDEN SCREEN CO., INC
Address: 1997 SE ESTERBROOK ST
City: FT PIERCE State:FL
Zip Code: 34951 Fax:
City: PORT ST LUCIE State: FL
Phone No.727-534-8459
Zip Code: 34983 Fax:
Phone No. 772-216-6171
E-Mail:JODYP,OLLAND@MSN.COM
Fill in fee simple Title Holder on next page (if different
E-Mail: EDEN68 AOL.COM
from the Owner listed above)
State or County License: CBC 059494
If value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION':
DESIGNER/ENGINEER: x— Not Applicable
Name: MICHAELTHOMPSON PE47509
Add ress:4401 MNELAND RD, SUITE A6
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
City: ORLANDO State: FL
Zip: 32811 Phone: 407734-1470
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
BONDING COMPANY: x Not Applicable
Name:
Address:
City:
Zip: Phone:
City:
Zip: Phone:
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 vour Notice of Commencement.
s
gighature of Owner/Lessee/Contractor as Agent for Owner
Sildnature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA If ' ,
COUNTY OF S� L v G i'C.
COUNTY OF �T
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of Ay l s+- 20 (a' by
this _jp_ day of Avjvtf 20 /_;L by
Jah- belvAiSevr
Jan Ce1Z Q11jVe---
(Name of person acknowledging)
_
-� �,
(Name of person acknowledging)
67
(Sign to Public- State of Florida }
z(Signatyure
of Notary Public- State of Florida)
Persona nown OR Produced Identiftcati. r
::
P r wn OR Produced Identification .. ` o
of Identification Produced
i�; 2
Type of Identification Produced
2
Commission No. (Seal)
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` 79
Commission No. (Seal)
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Revised 07/15/2014:,
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
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REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
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