HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: 1; SCANNED Permit Nurr
—v„„ — BY
® St. Lucie County
Planning an® Building Permit Applicatio
Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
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JUN 2 6 2018
Permitting Department
Commercial Sit L c•n. County, FL
PERMIT APPLICATION FOR: Aluminum without concrete
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ROPOSED l'MPROVEM:E'NT.LOCATION' „
Address: 55uU s 1. LUGIE BLVD. ( LOT S-43 )
Legal Description: 30 34 40 BEG AT SE COR SW 1/4 RUN W ON S LI OF SW 1/4 333 FT THN TO PT ON N LI OF SW 1/4 OFSW
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(9.84 AC) (OR 2947-659 ;3111-1969)
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PropertyTaz ID #: 1430-331-0001-000-8 Lot No.S-43
Site Plan Name:
lBlock No.
Project Name:
Setbacks IIFront`�f
// �Back: 1. Right Side: I e t Side: �S S
DETAILED DESCRIPTION OF WORK s
BILD OPEN PATIO COVE ON EXISTING CONCRETE
NSTRUCTION IN',FORMATIQ;N
ON
1
.,. _ .�. ..
orme un er t is permit — c
Aciclltlonai:work to flGas
,:` ^" ^tier..
ec a
, ,'�: ,az n.. '-.,• �, ,_„ ��
C Tank
I
0
as
❑GPiping
— Shutters
Windows/r
Q
ElectDoorsit is 0 Plumbing
Sprinklers
ElGenerator
E]Roof Roof pitch
Total Sq. Fiof Construction:
5500.00
S . Ft. of First Floor:
Cost of Cor Istruction: $
Utilities:n
Sewer Septic
Building Height:
OWNER/4LESSEE .F �
CONTR C7 .. • ._.�. �.„�; ,. , ;� ., G.
nN.
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Name REJEAN MORENCY VZ e� .!
Address: 1 '165 CARRE DU JASPE #103
e; A THEW MARKS
mpany: EAST COAST ALUMINUM
City: QUEBEC (—.1 �?�
Zip Code: ,G2L 31-13 Fax:
Phone No4' 18-667-8032
ddress: 913 EDWARDS RD
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 464-7603
Phone No. 772-464-7600
E-Mail:
Fill in fee s�Imple Title Holder on next page i afferent
from the Owner listed above)
ECAPINCHOTMAIL.COM E-Mail: @
State or County License: 24526
- ---- -- _-----.... ..-1 W1 wnnncncernent is requires.
SUPP'LEMENTAL'CONSTRUCTI:ON LIEN- LAW'WbRMATION
DESIGNER ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: SUNCbAST ENGINEERING Name:
Address:13630 58THSTREET N. 9101 Address:
City: CLEARWATER, State: FL City: State:
Zip:33760 II Phone772-532-9000 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
li
N am e : ROAD RUNNER TRAVEL RESORT
Address:5500 ST. LUCIE BLVD
City: FORT PIERCE
Zip:34946 II Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ C ' NTRACTOR 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 Coun',yy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in cor, lict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Pleai a consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration n 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 uilding permit applications are exempt from undergoing a full concurrency review: room additions,
accessory struicltures, 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
cnmmenrinLx work nr rpcnrding vour Notice of Commencement.
Signature of wner/ Lessee/Contractor as Agent for Owner
�LORIDA
Signature of Contractor/License Holder
STATE OF
STATE OF FLORIDA
COUNTY OF S? LlrcrE
COUNTY OF ST Wo E
i
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this Z.9— day of JNN , 20 (J by
thisZ.5 day of .TUN L! 20—W by
A?TREW MAR.ks
_ wm4ew MAiI
Name
of person king statement
Name of person mPking statement
Personally Known
OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
�')
Produced
(Signature of
Notary P �bI- ........... '-qf Fin i aALIJI MULMAN
(Signature of Notary Public- a " ary Public
a . , Notary ubllc -State of Florida
:idR
* _ -State of Flo
Commission
' ` » • C Ion # FF 913240
No. �; Qg
' My Cbmm. Expires Sep 20, 2019;•'
» ' e Co Isslon # FF 91324
Commission No. �= i� m. Expires Se 20
1� p p
'••'fi °i" •�` Banded t1Y0ugh National Notary Assn.
,
"ti ' is Bonded through National Notary
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Rev. 8/2/17