HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO -BE ACCEPTED I
Datle: VOW r( Permit Number:
��� '` RECEIVED
Building Permit Application
Plant ingandDevelopmentServices OCT 1 � Z�)8
Bui6n and Code Regulation Division
Permitting 2300 Virginia Avenue, Fort Pierce FL 34982 Perm9 Department
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial R&dkM1dL)County, FL
PERMIT APPLICATION FOR: Other gj�j��j jAIALZ5 (�
PROPOSED IMPROVEMENT LOCA
Address: 2421 Tamarind Dr Fort Pierce, FL 34949
I FORT PIERCE SHORES -UNIT 1- BLK 2PART OF LOTS 18 AND 19 MPDAF: FROM NE CDR BLK 2 RUN SELY ON W RAN TAMARIND DR 121.53 FT FOR POB,
Legal Description:
THCONTI SELY 72 FT, TH SWLY 140 FT TO PT ON W LI LOT 19 31.94 FT SELY FROM NW COR LOT 19, TH NWLY ON LI LOTS 18 AND 19 82.1 FT, TH NELY 140 FT TO POB (OR 875 a43)
Property Tax ID #: 1436-601-0039-000-9 Lot No.
UMNED
Site Plan n Name: _ 1*V Block No.
Project Name: tie County
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Build screen walls at front porch as per plans to make screen porch area all attached to existing
structure.
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CONSTRUCTION INFORMATION:
Additional workto e e orme under t—checkispermit a apply:
0HVAC Gas Tank Gas Piping Shutters Q Windows/Doors
�Ellectric 0 Plumbing []Sprinklers [ Generator Roof Roof pitch
Total So. Ft of Construction: 100 S . Ft. of First Floor:
Cost of Construction: $ 1,200.00 Utilities:]Sewer E] Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Bryan L Orton
Name: Nathan Cooke
Address� 2421 Tamarind Dr
Company: Cooke Construction, Inc
City: Fort Pierce State: FL
Address: 1278 Business Park Place
Zip Code: 34949 Fax:
City: Jensen Beach State: FL
Phone No.
Zip Code: 34957 Fax:
E-Mail:
Phone No. 772-530-0659
Fill in fee simple Title Holder on next page ( if different
E-Mail: nate@cookeconstructioninc.com
from the I Owner listed above)
State or County License: CGC 1520585
11 Vdjutl V1I wnstrucilon IS;Pzauu or more, a Kt6UKUtU IVOLIce or commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: Bryan LOrton
_
Name: Nathan Cooke
Address: 2421 Tamarind or Fort Pierce, FL34949
Address: 2421 Tamarind or
City: Fort Pierce State:
City: Jensen Beach State:
Zip: Phone
I
Zip: Phone:
FEE'SIMPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address: 1278 Business Park Place
Address:
City,:
City:
Zip: Phone:
Zip:, Phone:
OWNER/ CONTRACTOR 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 Counter 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
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.
i
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. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF AIAi✓71 iv
The forgoing instrument was.acknowledged before me
this j1 day of OC-TO RE(? 20-LL by
hA TNfi n.+ C ,DlcP
Name of person making statement
Personally Known,,,rAR�Produced Identification
Type of Identification
(Signature of Notary Public- S,t{ to of Florida )
No. (Seal)NALTER D PAYNE II
Y PVB i i
Notary Public State o1 Flo
Commission # GG 2446
.. r.,...... Co ;b Ann 9S
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF /MA R--r/Al
The for ping instrument was acknowledged before me
this day of ,' 7''0B19K 20f by
A147%Ani C'<ZK(
Name of person making statement
Personally Known roduced Identification
Type of Identification
iature of Notary Public -State
mission No. 6 6 2 �[f1
da )
(Seal) WALTER D PAYNE 1
Notary Public - State of I
Commission # GG 24
TS My Comm. Expires Aup 2'
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Rev. 8/2/17