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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q� Date: 8/24/2017 Permit Number: © O • 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 xx PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED 1MP9O-V_ EIVIENT LOCATION Address: 2 � -e � � a t /� - T) � . 1�.PA� Legal Description: PELICAN POINT WEST PB40-35 LOT 3 Property Tax ID #: 35227000007000-0 Lot No.3 Site Plan Name: DIAMEO )154'1 A-f J Block No. Project Name: Setbacks Front60 FT Back: 10 FT Right Side: 19 FT Left Side: 1OFT 1-,''"DE'T.A-I.'L'E-,D"P""E8'CRI'P'T'l0-"N"O-F WORK, INSTALL SCREEN ROOM ON CONCRETE DECK POOL ENCLOSER CONSTRUCTION !N FORMATION — Additional worK to be ner formedu nclert hispermit —c hec a anov: 0HVAC Gas Tank Gas Piping 11 Electric Plumbing Sprinklers Total Sq. Ft of Construction: 440 Cost of Construction: $ 14000 HShutters ❑Windows/Doors ❑ Generator E]Roof Roof pitch S Ft. of First Floor: _ Utilities:�SewerEl Septic Building Height: :. 01NNER/LESSEE s .CONTRACTOR Name DIMEO M*R MA,A Name: ROBERT SANDERS Address:7659 PELICAN POINT DR Company: GOLD STANDARD CONSTRUCTION Address: 5799 SE AULT AVE City: JENSEN BEACH State:FL Zip Code: 34957 Fax: City: STUART State: FL Phone No. 772 2336168 Zip Code: 34997 Fax: E-Mail: Phone No. 772 2212116 Fill in fee simple Title Holder on next page (if different E-Mail: SANDERSSC.REENNING@YAHOO.COM from the Owner listed above) State or County License: CRC1330584 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTALCONSI`RUCTI,ON LIEN LAW`I;I .. DESIGNER/ENGINEER: _ Not Applicable Name: FLORIDA ENGINEERING Add ress: 4456 TAMIAMI TRAIL UNITB14 City: PORT CHARLOTTE State: FL zip: 88980 Phone941 89159Bo FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: ORMATION f MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Not Applicable Name: Address: City: 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 recordinsvour Notice of Commencement. 2,,A Signature of ner/ Lessee/Contractor as Agent for Owner Signature cif Cont ctor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF acknowled The oing instru ent was ged before me th' day of 20��by The ing in Iment wa acknowledg fore me thi day 20 t Q l� Name of person making statement Name of pe so a ing statement Personally Known OR Produced Identification Personally Known l/ OR Produced Identification Type of Identification AProdu Type of Identification Produced d — YAJIA &_ —(Sig ature otary Public- State of Florida) f N ryublic- S ate of Florida ) (Sig�ission Commission No. `� 1 CoNo. (Seal) %� BRENDA L THIXrON MY COMMISSION FF 057191 `,qr oy. ,` ,• "__ ENDA L THIXTON %! ;7;•a, EXPIRES: January MY CO REVIEWS 3 FRONT " " m ZON taryPublicUnderwhe, PLANS -i .,, Rf' VEGETATI 40.er' g 'a= PIRES: Janiw_ �otary COUNTER REVIEW REVIEW REVIEW REVIEW REV DATE fl It I X� I RECEIVED DATE COMPLETED Rev. 8/2/17 /