HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
i
ALL APPLICABLE I O MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Datl : 11i 8 Permit Nu 0
�l
s
_.. RECEIVED
Building Permit Application NOV 19 2018
Planning and Development Services
� .Permitting Department
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phoi e: (772) 462-1553 Fax: (772) 462-1578 Commercial Kesidential
PERMIT APPLICATION FOR: Building ��-p< r C ���El
Address: 1491 NW Sweetbay Circle
Legal Description: Harbour Ridge -Plat 9 -West Hammock Village Unit 2 (or 103-871)
SCANNED
■+mow
Property Tax ID'#: 4426-804-0035-000-2
Site Plan Name: Thompson Residence
Project Name: Thompson Residence.
Setbacks Front Back:37.48
In
Right Side: 60 + Left Side: 34 +
on of Pool Screen Enclosure on Existing Deck
�IElectric 0-Plumb
Total Sq. Ft of Construction:
Cost of Construction: $ 12580.00.
Lot No._
Block No.
ng u Shutters Q Windows/Doors
ors 1:1Generator E] Roof F-1 Roof pitch
S Ft. of First Floor:
Utilities:Sewer 0 Septic Building Height:
{{ j}.�. µµ,, K S y 1� ✓� €Yk
S �;- i fd A PW 9Y'$
Nam
Name: Craig Rice
Addrei f'�.
Company: Pioneer Screen LLC
City:
State
Address: 3290 SE Slater Street
City: Stuart State: FL
Zip Code: �� Fax:
Phone No.
Zip Code: 34997 Fax: 772-283-3028
E-Mail:
Phone No772-283-9197
:
E-Mail: BEv@Pioneerscreen.cbm
Fill in fee
simple Title Holder on next
page ( if different
from tie
Owner listed above)
State or County License: SCC046064
If value; of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER ENGINEER: • Not Applicable
Name: =,: I
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:,..,,.,,.,_; Not Applicable
Name:
Address:3290 SE Slater'Street F % .` • ..
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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 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. Pleaseconsult 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 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 your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of , 20_ by
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
REVIEWS FRONT ZONING
COUNTER I REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
G // 6
Signature of C'pntractor/License Holder
STATE OF FLORIg ),
COUNTY OF ff jj
The forgoing instrument was cknowledged before me
this%lam day of 1r 20� by
Name of personnaking statement
Personally KnownOR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- f
"�, BEVL.HADDAD
Commission No. '. M6SA*ISSl0N#GG0093
No;: EXPIRES: July 6 2020
�F�F Bonded Thru Notary Public Underwrit
" 1W
SUPERVISOR PLANS I VEGETATION I SEA TURTLE I MANGROVE
REVIEW I REVIEW REVIEW REVIEW REVIEW
me:
dress.
State:
:Phone
SIMPLE TITLE HOLDER:. . _ Not Applicable
ie:
rp CS' 3290 SE Slater Street • ...
Zip Phone:
MORTGAGE COMPANY: ... ..._ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone -
OW ER/ CONTRACTOR AFFIDVIT: •Application is hereby made to obtain a permit to do the work and installation as indicated.
I cer:ify that no work or installation has commenced prior to the issuance of a permit.
St. LtJcie 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 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 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
rnm'mpnrino wnrk nr rernrdinE vnur Notice of Commencement.
--
G
;j•
at re of 0 ner/ Lessee/Contractor as Agent for Owner Signature o ntractor/License Holder
Si—g
STIA
TE OF FLO STATE OF FLORI '
COUNTY
OF COUNTY OF ��
The
for ng instrument was acknowledged before me The for_%ing instrument was cknowiedge before me
this fiday of65i A,2 26—C by
thiszr/day
of _^L�k7c . 20 /by
Name of perso aking statement Name of person aking statement
Identification Personally Known OR Produced Identification
Personally
Known OR Produced
Type
of Identificab Type of Identification
(Produced
Produced
-
of Notaroj�Pu 'c; (Signature of Notary Public Pinridii
(Signature
Co
_� ,,,,..,,•,.,.
,' A ; q;H:?: BEV L. HADDAD
BEVL. HADD1 �l
missio - 510N #3fi3 Commission No. NAISSION # GG 00936
Z. EXPIRES: July 6, 2020
EXPIRES: July 6, 20^_0 F,• l
... '••.P,",�,ti•wed ThN Notary Public Undenvdter
,�e.•
pF F Banded 7hru Notary Public Undetvrritery _j
.FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEWS
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
136