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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: "1 �' Permit Number: SCANNO :rt By Building Permit Application RECEIVED Planning and Development Services APR 0 2 2018 Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie o ty, Permitting Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Reside PERMIT APPLICATION FOR: Aluminum with concrete PROPOSED IMPRDVEME_NT LOCATfO'N - J Address: 3119 S Indian River Dr. Fort Legal Description: 26 35 40 Beg on W M/L to E R/W S Ind Riv Dr, Th cont W FL 34982 hore of Ind Riv 737.2 ft N of S LI of Govt Lot 1, th run W//with S LI of Govt 1 59 ft ft to W R/W S Ind Riv Dr, Th Cont W 400 ft with A BA of 69 Deg 00 Property Tax ID #: 2426-122'0005-000-41 . Site Plan Name: Neill Project Name: Setbacks Front Back: ►43 Right Side: yI 1 Left Side: 13 Lot No. Block No. �• �,� \ �a�,� ' .�. �� �Z'' �r� ' / ' � ` fit• � % MUNI E1HVAC _ Gas Tank Gas Piping _ Shutters Windows/Doors11 SL Electric El Plumbing Sprinklers r_1 Generator Cl Roof Roof Total Sq. Ft of Construction: Cost of Construction: $ 16,700.00 S Ft. of First Floor: _ UtilitiesInSewer Septic Building Height: OWNER/LESSEE: " . , " CONTRACTOR: Name Brian & Lisa Neil Name: Michael J Newman Address: 3119 S Indian River Dr Company: Pioneer Screen Co. Inc. II City: Fort Pierce State: FL Zip Code: 34982 Fax: Phone No. 631-805.7910 Address: 1682 SW Biltmore St City: Port Saint Lucie State: FL Zip Code: 34984 Fax: 340.4626 Phone No. 340.4393 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: pioneerscreen@msn.com State or County License: RX11066919 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORfVIAT10N' DESIGNER/ENGINEER: Not Applicable Name: 1I- k i UY� Q- h 550C- Address: 176 F56 y r DL� 3g City: CL '),) PA- State: f�� Zip: J '5&7! ( Phone: 2r 1 3- �' �"7- �1 I5� MORTGAGE COMPANY: lNot Applicable Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _✓ Not Applicable Name: Address: City: I BONDING COMPANY: Not Applicable Name: Address: City: Zip: Phone: i 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 tW first ins ecti If intend to obtain financingcons It , e�' p . Y , you �p t ith lender an attorney before comm cing work or r ording your Notice of Commencement- as Agent for Owner STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 5+ • L(AC i c COUNTY OF � • L-Lc.C+ C, The for omg instrument was acknowledge efore me this -A day of Y n G, fr Ch 20LD by (Name of person acknowledging) (Signature of Notary*Public- State of Florida Personally Known 1 / OR Produced Identification Type of Identification Produced Commission No. Revised 07/15/2014 The for oing instrument was acknowledged !b/efore me this �day of `Ma rGh 20 1 b by - (Name of person acknowledging) (Signature of bota�PuAlic­te of Florida ) Personally Known `' OR Produced Identification Type of Identification Produced BRFaf LY 5 WAL�ACommission No. `%' ; BEVERL( �I IALLACE MYCOMMISSION # GG; , .' MY COMMISSION # GG023777 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE V REVIEW MANGROVE REVIEW DATE COMPLETE 4I INITIALS7