HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALVAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 1805-0568
BY
IFUM ILI -I;e
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 x
PERMIT APPLICATION FOR: Aluminum without concrete
PROPOSED IMPROVEMENT L N 77,
Address: 4456 Tamiami Trail, Unit B14
Legal Description: Southern Star Stables S/D (PB 53-24) Lot 1 (10.95AC) (OR 3968-213)
Property Tax ID #: 2215-700-0003-000/6 Lot No.1
Site Plan Name: Jones, James Block No.
Project Name: Jones, James
Setbacks Front Back: _ Right Side: l i:) Left Side: S941
DETAILED DESCRIPTION:OF WORK
Installing Pool Enclosure
CONSTRUCTION -INFORMATION...
Additional work to e performed under tis —checkpermit a apply:
11HVAC 0 Gas Tank []Gas Piping ❑
Shutters Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 2320 S . Ft. of First Floor:
Cost of Construction: $ 9870.00 Utilities: Sewer DSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:.
NameFlorida Engineering
Name:NA • Z
Address:
Company: Tripod Aluminum
City: Port Charolette State: _
Address: (oci �Sy`, �}',� 4_1 � ���
Zip Code: Fax:
City: �'0,` r l State: FI
Phone No.
Zip Code: 329004 Fax: 321-729-9507
E-Mail:
Phone No. 321-729-9695
Fill in fee simple Title Holder on next page ( if different
E-Mail: Penny@tripodaluminum.com
from the Owner listed above)
State or County License: SCC131151011
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
�,� PLEfVIENTAI CONSTRUCTION LIEN tAW,INFORMATION
. .
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
_
Name: Florida Engineering i Name:N+
Address:4456TamiamiTrail, UnitB14 I Address:
City: PortCharolene State:.Florida City: State:
Zip: 33980 Phone941-391-a`980 Zip: Phone:
i
i
FEE SIMPLE TITLE BOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:N I
Name:NA
Address: I
Address:
City: I
City:
Zip: Phone:
Zip: Phone: i
I
OWNER/ CONTRACTOR AFFIDVIT: Application is Thereby 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 bylaws
rules, 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. f you intend to obtain financing, consult with lend, or an attorney before
cornmencing work or refidrdingypur Notic of Commencement. ,
.z-
Signat ner essee/ ontractor as Agent for Owner
ur Cont cto License Holder
STATE OF FL
STATE OF FLORIDA /
COUNTY OF
COUNTY OF LAW_d
The forgoing instrument wa acknowledged before me
The forgoing instrument was acknowledged before me
this day of v 0� by
this 3 f day of cti Q 20_ by
`f !
Vi�✓e l Tom, ��
�-
e�� . � �
Name of perso makin statement
Name of person makin statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Si ure of Notary Public- Sta of Flo a)
(Signat e f Notary Public- State of Florida )
otary peal is ui Florida
arren M. Flynn
Commission No.4�0,00i:Expire5
„ ���rry
;. ,
Commission No. �.wyp�•,- SP II►'
r KA�fi &ELL
y Commission GG 194783
o3r1.1i2o2z
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, • irotrrp Publlt: - •State of Florida
N �' Qo►pirib':ion +M.EF9322955
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
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REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17