HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE CONIPLETED FORAPPLICATIONTO BE ACCEPTED
Date: 1216/2017 Permit Number_ 1�I
®
Building Permit Application DEC Q l 2017
Planning and Development Services PER. F11TINIG
Building and Code Regulation Division C panty, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (7721462-1-453 Fax: (772) 462-1579 Commercial Residential YES
PERMIT APPLICATION FOR: To Select from dropbox, dick arrow at the end of line.
PROPOSED I,MPROVEMENT,LOCATION / /
Address :il�euS°t� N '��yS(,4L'l ES
Legal Description: SAVANNA CLUB- PLAT ONE•BLK2 LOT
Property Tax ID #: 3425-701-0052-000-5
Site Plan Name:
Project Name: DANCHRISTIANSEN
Setbacks Front Back:
DETAILED DESCRIPTION OF -.WORK:
Right Side: Left Side:
Lot No.
Block No.
REBUILD PORCH PAN ROOF FROM STORM DAMAGE, IZ' X 3" ALUMINUM PAN WITH
INSULATION AND COVER. ONLY LEFT SIDE OF PORCH ROOF HAD DAMAGE AND IS TO BE
REBUILT. SIZE IS 15' X 10' WITH A 4TH WALL IF NEEDED. ENGINEER DRAWINGS PROVIDED.
CONSTRUCTION INFORMATIOW.-L.
Additional work tone e orme under tispermit—checka "appy:
E1HVAC El Gas Tank E]GasPiping Shutters aWindows/Doors
11Electric E Plumbing OSprinklers t tGenerator R[,Roaf Roof pitch
Totai Sq. Ft of Construction: 150 ¢
F
FI. OT tlrSt tlOOr:
Cost of Construction: $ 10D, 00 Utilities: Sewer []Septic
Building Height:
OWNER/LESSEE:"
CONTRACTOR: =
Name
Name:
/
Address: % LIiSf �� L
Company: PINNACLE SOUTH BUILDERS ING
Address_ 3765 S_W_ fit1LSKA sr
City: /�'� �. Stater
Zip Code. 34952 Fax:
City:. State.FL
Phone No.772 284-5581
Zip Code: 34953 Fax: 772-343-8910
E-Mail:dlodge49@yahoo.com
Phone No. 772-528-4423
Fill in fee simple Tide Holder on next nave (if different
E-Mail: Denny bellsouth.net
from the Owner listed above)
State or County License: CBC 1254149
If value of construction is,52500 or more, a RECORDED Notice of Commencement is requaeo.
SUPPLEMENTAL -CONSTRUCTION LIEN LAW INFORMATION: .
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:nwearwMsaREENnMcrv.micHaaTHQiU ou.
Name:
Address:
Address:441n vwaAPiDm sunEA5
City: ono State:. FL
City: State:
Zip:3m+ Phone407T3-T470
Zio: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:3
Address'
City:
Cmty:
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 Horne 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 ofthis requested permit;1. do herebyagree that I will, in all respects, perform thework
in accordance with the approved plans, the Florida Building Codes and St Lucie County Amendments:
The following building permit appfications 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 lenderor an attorney before
rnm mpnring wnrlc nr rpr_ording your Notice of Commencement_. /
o6, uvi� (� 0 jw�
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Sign to a of O er/ Lessee/Co ctor as Agent for Owner
Sign r of tractor/Li n Holder
STA OF ORIDA
STATE OF RIDA
COUNTY OF4.COUNTY
OF
The for oing instmgr entwas acknowledged before me
this f day of 20� by
The f oing i ment was acknowledg0jefore me
this day of 20 by
P
Nanie of person maki g statement /
Na m of person aki g statement
Personally Known OR Produced identification I/
Personally Known OR Produced Identification
Type of Identica ion
Type of ldentifi ' n
Produced
_
Produced L
(Signature of Nota a Ei¢p $ , N I E L S E N
(Signature of Notary Public- State of Florida l
r P4B(i'i
Commission k FF 115637
Commission No. _• '= MyCor�lionExpires
�
Commission No- .,`;."""`B,',-, KARE�I1NIELSEN
" • June 12, 2018
;,°�``
_• ,_ Commission # FF 115637
My Commission Expires
of «�
June 1 2
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
i
SEATURTLE
MANGROVE
COUNTER
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17