HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONY
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
SCANNED Permit Number:
BY
St Lucie County
Building Permit Application
2018
Pit fining and Development Services dCl�,Q n w,
Budding and Code Regulation Division k. rmlteing
2310 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential_
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPO
S
ED IMPROVEMENT LOCATION:' n
Add 1i ss:
Legal Description. PORTOFINO SHORES -PHASE THREE-(PB 43-40) LOT 343 (OR 4125-1971
Pr IIlI rty Tax ID #: 1312-503-0116-000-1 Lot No.343
site plan Name: NESTE Block No.
ProjeIct Name: NESTE
, J, i
Set.acks Front Back: Right Side: -1 Left Sider
DETAILED DESCRIPTION OF WORK:
ADD 45LF OF 8"X8" (1) #5 REBAR FOOTERS. 157 X 16' +/- 3" INSULATED ALUMINUM SOLID ROOF WITH SCREEN WALLS, 2
DOORS AND 16" KICKPLATE. ioX o+ p,i 1313C) ' Si. 001 � � NO � LA— SjA �. � % &jD,�
CONSTRUCTION INFORMATION: I
ii
Cost
1HVAC LJ Gas Tank
IElectric 0 Plumbing
Sq. Ft of Construction: 301
A Construction: $ 9,974.00
permit — cnecKaii apply:
Gas Piping Shutters
Sprinklers FiGenerator
S . Ft. of First Floor: _
Utilities: Sewer Septic
l] Windows/Doors
Roof Roof pitch
Building Height: 9'
OWNER/LESSEL:
CONTRACTOR:
Name
7Ari ( 7 i-A Q'Sit-IL
Name: Zr_)" L_'G\/AQ5'54Q0 $ L
i �PILI M�� L�_
Addr:ess
city:
Zip
Phon
Company: EDEN SCREEN & CONSTRUCTION CO., IN
Address: - -��-7- �1
City W:'SrT State: FL
Zip34983
Code: Fax:
lTi - y State:FL
Code: 34951 Fax:
a No.772-349-7761
E-M
Fill ii
ail: patysteixe@gmail.com
Phone No. 772-216-6171
E-Mail: EDEN68@AOL.COM
fee simple Title Holder on next page ( if different
frorn'the
Owner listed above)
State or County License: CBC 059494
If vai a of construction is $2500 or more, a RECORDED Notice of Commencement is required.
4
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
1,
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:AWIA �V-�
'wS (V'0
Name:
Address: j I t-IC� LA)-10
Address:
CitZ—a 1,
Y.
State:
City: State:
Phone to
— 11::i Ff
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Andress:
Address:
.
Zip: Phone:
Zip Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I ce ify that no work or installation has commenced prior to the issuance of a permit.
St. Lcie 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
struct11 ure. 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 T OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
imp'�oveme is to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the Irst inspection. If you intend to obtain financing, consult with lender or an attorney before
re of / essee/Contractor as Agent for Owner Sigry@re of Contractor/License Holder
STIIWE OF FLORIDA STATE OF FLORIDA
COUNTY OF R ✓A� COUNTY OF S+ w G _c
Th l forgoing instrument was acknowledged before me The f r oing instrument was acknowledged, fore me
this day of (%�- , 20 by this day of b— 20� by
IJj2 Lc u1q SS
Name of perso aking statement Name of person making statement
Per Isonally Known OR Produced Identification �_ Personally Known OR Produced Identification _
Type of Identification Type of ldentificatias.-
Produced Produced
KELLY 13LEDSOE i nature of Notary (signature of Notary Public- S atg... ' fid� � g ry
Public- Sta Florida
o ,uy Public • Sldto of Florid
��_ r` nmisstnn H GG 18/893 FN
�� CImission No. 'y��ni , ?�P ( mm, Expires Feb 20, 202 mmission No. (Seal)
9'Bonded Ihrougli National Notary As eREVIEWS FRONT ZONING SUPERVISOR LANS VEGETATION SEA TURTLE
II COUNTER REVIEW REVIEW VIEW REVIEW REVIEW
DATE
.,. 5-�... E. =I ,. a m
C>T.Z*TW
rn0 G)o C
�a
n
NX 0
m N C M
(A d' Q
V _.