HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: I p 6— lJ�
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Building Permit Applicatio R7ECEIV!ED
Planning andDevelopmentServicesBuilding
and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 2 9 201Phone:
(772) 462-1553 Fax: (772) 462-1578 Commercial e
innt
PERMIT
APPLICATION FOR: Aluminum without concrete F
St. Lucie County,r�-
b
Address: �317
LONE PINE DRIVE, FORT PIERCE FL. 34982 SCANNED
By
Legal Description: St I i lide CAM
LONE PINE SUBDIVISION( PB 51-21 ) LOT 20
3409-505-0025-000-5 20
Property Tax ID #: Lot No.
Site Plan Name: LONE PINE Block No. LIPS
Project Name:
Setbacks Front Back: Right Side: Left Side:
TMS a. ... ., ._ONw'✓.'�
INSTALL A 19' 4" X 45' X 9' 6" HIGH SCREEN ROOM ON THE BACK EXISTING CEMENT SLAB.
THIS IS A NEW HOUSE AND CEMENT SLAB WAS DONE WITH THE HOUSE.
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. P, , xiw $a, i _ � x Z�'3"Jv....� .....we.,. a. 3Yu +�' !a��. k s..C1&r.ef':-�.. : � .'. .�i.w M � � ��.£.'zY ;�n� �':. , e���+".3 E i;•�..Y
Itlona wor to e e orme un er t Is permit — c ec a app y:
❑HVAC � Gas Tank ❑Gas Piping ❑Windows/Doors
_Shutters
❑Electric ❑Plumbing ❑Sprinklers ❑Generator ❑
Roof Roof pitch
Total Sq. Ft of Construction: $ �� r J d S . Ft. of First Floor:
❑Septic
Cost of Construction: $ 8000.00 Utilities:Sewer Building Height:
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Name PATRICIA
CHESSER
Name: VAUGHN HOSKINS
LONE PINE DR.
Company: V H EXTERIORS INC
Address:1317
State:FL.
Address: 543 NW WAVERLY CIRCLE
City: FT. PIERCE
Zip Code:
(34982 Fax:
City: PORT ST. LUCIE State: FL.
Phone No
1772-201-8435
Zip Code: 34983 Fax: 772-871-2567
E-Mail:
Phone No. 772-871-6484
simple Title Holder on next page (if different
Fill in fee
E-Mail: VHEXTERIORSINC@GMAIL.COM
State or County License: 21579
from the
Owner listed above)
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If value of c onstruction is $2500 or more, a RECORDED Notice of Commencement is required.
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SIGNIER/ENGINEER: Not Applicable
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MORTGAGE COMPANY: Not Applicable
me: F11 ORIDA ALUMINUM ENGINEERING INC
Name:
Add resS:5440MARINER ST. SUITE110
Address:
City: TAMPA State: FL.
City: State:
Zip:33609, Phone813-374-2403
I
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
_
Name: I Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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OWNER % CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify th t no work or installation has commenced prior to the issuance of a permit.
St. Lucie 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
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consider) tion 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 followiIpg 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 I er or an attorney before
commencing work or recording our Notice of Commencem nt.
I
Signature
of Owner/ Lessee/Contractor as Agent for Owner
Signatu a of Contr ctor/I_ nse Holder
STATE OF
FLORIDA
STATE OF FLORIDA
COUNTY
OF S1I.ME
COUNTY OF STLUCIE
The forgoing
instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this,&
day''off/ 20%I by
this AJ day of llGf'- ,,2226—bby
Name of person making statement
Name of person making statement
Personall; Known OR Produced Identification sL
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced a(/
Produced
(Signature
of Notary Public- State Florida)
otary Public- State of Flor )
Commissi
n No. (Seal)
FFZ;fi
. (Seal` `/��N
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REVIEWS
FRONT
ZONING
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SUJR5161VLANETATION
SEA TURTLE
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MA (I
COUNTER
REVIEW
RiR/N.oEVIEW
REVIEW
R M*c.q
DATE
RECEIVE
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Q o E o 0
DATE
COMPLETED
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Rev. 8/2/17
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