HomeMy WebLinkAboutBUILDING PERMIT APPLICATION..ALL APPLICABI. INFO MUST BE COMPLETED FOR APPLICAT16'64 TO BE ACCEPTEDg
Diate: �II GGANNEL-) Permit Number:
BY RECEIVED
St. t�, ascaff(it,
� • AUG 132018
Building Permit Application Permitting De
Planning and Igvelopment Services St, Lucie County a"t
Building and C ide Regulation Division
2300 Virginia ! enue, Fort Pierce FL 34982
Phone: (772) �62-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED INMPROVEMENT LOCATION:
4 dress: 1—T (I (��,C TDM V'
Leval Description: HOLIDAY PINES S/D-PHASE II-B-LOT 255 (MAP 13/13N)(OR 2972-1115)
ierty Tax I #: 1312-801-0058-000-1
Plan Name: MAKE A WISH
act Name:I MAKE A WISH
Setbacks Fr nt� Back: Right Side: l Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALL A OOD DECK FOR THE ABOVE GROUND POOL]
CONSTRUCTION INFORMATION: ' . .
OHVAC
11 Electric
Total Sq. Ft
Cost of Con
L-.1 Gas Tank
0 Plumbing
uction: _ 4
$ bcxw_'�
Lot No.255
Block No.
Gas Piping
U
Shutters
Q
Windows/Doors
Sprinklers
E
Generator
Roof
Roof pitch
S Ft
of First Floor: _
Utilities: nSewer 0Septic
Building Height:
OWN ER/LE"I5
CONTRACTOR:
Name 1'
ddress: fJ I itl
City: ' i-
Zip Code: �`
Phone No
E-Mail: I�
Fill in fee sim
from the Ow
01� BIZ
Name: -Jot,-I i. \/2SS eltii
Company: EDEN SCREEN 8, CONSTRUCTION CO., INC
Address:1qej S Le t��i
City: rpoikx S-( l-.9c2 c � State: FL
Zip Code: 34983 Fax:
Phone No. 772-216-6171
E-Mail: EDEN68 aU� °`OL.COM
State or County License: CBC 059494
E n Q 1 P �� 1 Ue
10 , e r u j State: F L
�5 ,i Fax:
liar 3-10, aU1
le Title Holder on next page if different
er listed above)
If value of con ruction is $2500 or more, a RECORDED Notice of Commencement is required.
� I`I
SUPPLEMENTAL CONSTRUCTION LIEN, LAW INFORMATION:
DESIGNER/ENGINEER:
Nlame: PAUL WE I,9H
Aid d ress:1984 Slf
City: PORTSTLUblE
Zip:349aa III
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
V BILTMORE ST, STE 114
State: F-
Phone772-785.9933
FEE SIMPLE TITLE
Name: I
Address: III
City: H
Zip: 1:1
HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Phone:
Zip: Phone:
R/ CON` TRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
that no Work or installation has commenced prior to the issuance of a permit.
St.:Lucie County
which is in confl'
structure. Pleas(
In consideration
in accordance w
I
The following bt
accessory struct
I
WARNING TC
im'provemeni
before the fir
commencing
nakes no representation that is granting a permit will authorize the permit holder to build the subject structure
t with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
consult with your Home Owners Association and review your deed for any restrictions which may apply.
A the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
h the approved plans, the Florida Building Codes and St. Lucie County Amendments.
Iding permit applications are exempt from undergoing a full concurrency review: room additions,
res, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
to your property. A Notice of Commencement must be recorded and posted on the jobsite
t inspection. If you intend to obtain financing, consult with lender or an attorney before
ifork or recording vour Notice of Commencement.
Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF1'l S+, L -1 ene
IThe forgoing ir1 trument was acknowledge before me
this N day of20 by
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced III t- t
I f1�
(Signature of Notary Public -State o .UW;
IEGNENs
CS u $ . •ti • 6iE�I SION # GG 0220 03�
Commission No.=. MYd
EVIRE NDYary P bllb Underarti ers
',+ ? Bunded lb
i
REVIEWS FRONT ZONING SUPERVIS R
COUNTER REVIEW REVIEW
Contractor/License Holder
STATE OF FLORIDA .
COUNTY OF .
The forgoing inst ument was acknowledged before me
this 4S day of 20by
Name of person making statement
Personally Known OR Produced Identification
Type of Idenlin c� .�
Produced ►� t
ture of Notary Public- State of Florida )
Commission No.
LASHAHNA INGRAM
Notary Public - State of Florida
EV� I V EVI TI1�p--�-"�`S R EVE EW,L '