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