HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COhirLi.TED FOR APPLICATION TO BE ACCEPTED �
Date: F <, / Permit Number: <0/'C1
R E ."t-.. v D
Building Permit Application AUG / 9 2017
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 0
PRaOPQSEDeIMPROVEMENT LOCATION w'
Address: 6802 COQUINA AVE FORT PIERCE FL. 34951
Legal Description: LAKEWOOD PARK - UNIT 9- BLK 113 E 1/2 OF LOT 2 AND ALL LOT 3 ( MAP 13/01 N)
Property Tax ID #: 1301-611-0264-000-1
Site Plan Name:
Project Name:
Setbacks Front Back:. Right Side: Left Side:_
DETAILED�DESCRIPT:IF WORK
BUILD 1 WALL SCREEN ROOM ON EXISTING CONCRETE WITH POLY INSULATED ROOF
IT04 ;3oi,tc� oc,� 4 moo-} p4ti"
Lot No.1/20F 2 & 3
ck No. 113
ti N11
CO"NSTRUCTIO;N.�INFORM=A1"IO:N ,:a��t
Additionalwork to be nertormed under this permit-- check a apply:
F1HVAC0 Gas Tank Gas Piping _ Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
v
Cost of Construction: $ i9sod °/ Utilities: _ Sewer []Septic Building Height:
01N'N :E
�. .
CONTRACTOR:
Name BRIAN VOIGT
Name: MATTHEW MARKS
Address:6802 COQUINA AVE
Company: EAST COAST ALUMINUM
City: FORT PIERCE State:FL
Zip Code: 34951 Fax:
Phone No.828-347-2705
Address: 913 EDWARDS RD.
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-464-7603
Phone No. 772-464-7600
E-Mail: ECAPINC@HOTMAIL.COM
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner.listed above),,
State or County License: 24526
it value of construction is $z50u or more; a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name: SUNCOAST ENGINEERING
Address: 13630 85TH STREET N 101
City: CLEARWATER State: FL
Zip: 33760 Phone: 727-532-9000
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: _
Address:
City: _
Zip:
Phone:
MORTGAGE COMPANY
Name:
Address:
City:
Zip: Phone;
Not Applicable
State:
BONDING COMPANY: Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 Signature of Contractor/License Holder s
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S7. L41el [COUNTYOF Vr Lgem
The for�oing instru�/ ent was acknowledged before me The forgoing instrument was acknowledged before me
this % day of Aiw4uS7 , 20 /% by this 71 day of -4ucu c—r 20 I% by
AIIA 7`REW MCI it I" #AT7-#Ek1 NA Rlcf
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known Produced Identification
Type of Identification Produced.
Commission No.
Acgr32k�
Revised 07/15/2014
ONALD. M. HOLMAN
Public`. State of Fli
Commtsslon # IFF 9132,
Personally Known �� OR Produced Identification
T pe of Identification Produced
boa
"".. DONALD:M. HOLMAN
ommission No. ;o�►�"pue�<+ (S�
q 32 Y y Public`- State of Fli
?• - _ _ Commission #F FF 9132,
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