HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONy_.
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED `�
Date: �I !' J O ' SCANNED Permit N r� O 7 y / "
it BY
St. Lucie Cnuntj RECEIVED
Building Permit Applicati n
JUL 10 2018
Planning anll Development Services
Building an, Code Regulation Division Permitting Department
2300 Virgin-d Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (712) 462-1553 Fax: (772) 462-1578 Commercial Residend
PERMIT APPLICATION FOR:
Aluminum without concrete
PROPOSED IiVIPROVEMENT
LOCATI„ON
w. .
Address: 17,95 STONYBROOK DR.
Leeal D25C ilOtlOn: 3 35 39 NW 1/4-LESS AVON MANOR -UNITS 1 AND 2 AND LESS W 615.5FT LYG S OF AVON MANOR -UNIT 1 AND LESS
W 615.5 Ffj LYG S OF AVON MANOR -UNIT 1 AND LESS (1795 STONY BROOK DR.)
Property Tax ID #: 2303-211-0025-000-5
Site Plan Name:
Project Na e: II 1
�" ' ?"" a" Left Side: �9 "!
Setbacks Front oZ Back: 3 /� Right Side: /
DETAILS D5Ci2(PTION OF'U11ORK
ie"i�/d o? 4-)a,11 SSC2e-e,.I cony o�<. x�S-1rn�c Lcon eAe-oi-c—
/3' II /31, jooI J 2oa�
Lot No.
Block No.
COIVST UCrTION INfORMATIO
e,.
�...,, . , �a ,.
Addition8l work to be ertormed under this permit — c ec a apply:
Gas Tank ❑Gas Piping Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq,,Ft of Construction: S . Ft. of First Floor:
Cost of donstruction: $ /�St� 'I 4'% Utilities: Sewer Septic Building Height:
11
OWNER/LESSEE ,, ,,` , .
CONTRACTpR �.,
NamePERSHING MOBILE HOME SALES INC
Name: MATTHEW MARKS
Address 901 NW 31ST AVE
Company: EAST COAST ALUMINUM
City: POMPANO BEACH State:F�
Address: 913 EDWARDS RD.
City: FORT PIERCE State: FL
Zip Cod1e: 33069-1100 Fax:
Phone No.
Zip Code: Fax: Fax: 772-464-7603
E-Mailil
Phone No. 772-464-7600
Fill in fl'e simple Title Holder on next page ( if different
E-Mail: ECAPINC@HOTMAIL.COM
from tljle Owner listed above)
State or County License: 24526
If value'16f construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNE
Name:FLC
Address:
City: PORT
Zi p : 33980
FEE SIMP
Name:_
Address:_
City:
Zip:
'NGINEER: Not Applicable
ENGINEERING LLC
TAMIAMI TRAIL, UNIT B14
ZLOTTE State: FL
Phone 941-391-5980
TITLE HOLDER: _ Not Applicable
Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:,
BONDING COMPANY:
Name:
Address:
City
Zip: Phone:
Not Applicable
State:
Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that n work or installation has commenced prior to the issuance of a permit.
St. Lucie Coun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in coolict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Plea, a consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideratiup of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance Ith the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following I uilding permit applications are exempt from undergoing a full concurrency review: room additions,
accessory stru, ures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING T 3 OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improveme' is to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the f st inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement
Signature of I wner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY ;7-LUcfE COUNTY OF ST UCIE
The for going''instrument was acknowledged before me The forgoing instrument was acknowledged before me
this A da l'1 of AULY , 20L by this !jt day of XIALY 201k by
7711AW /t'MR9
Na I e of perso�aking statement
Personally Known OR Produced Identification
Type of Ider ification
Produced
(Signature cf Notary Publi -
r Pie%
ONALD M. HOLMAN
o•�aa
Commission) No.- 'r,» %My)Public -State of FF
» •_ Commission # FF 9132
F 132 V 0 �"'okoFF�iAk My Comm. Expires Sep 20,
f� Bonded throuoh National Notan
REVIEWS i FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
E
TE
CEIVED
TE
MPLETE
Rev. 8/2/17
Name of person,,making statement
Personally Known 11 OR Produced Identification
Type of Identification
Produced
gnature of Notary Public-
P"� DONALD M. HOLM
�C mmission No. ?_ • ";� o y Public - State of
» •- Commisslon # FF 91
9 "IrG 170-1 y My Comm. Expires Sep 2
VEGETATION I SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW
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