HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Datei: 11/20/18 Permit Number:
e R,ECEIVED
Building Permit Application NOV 21 2018
Planning and Development Services
ST: 6aele G90t of �ql ltllttlll9
Building and Code Regulation Division
-- -- — - -
2300 (Virginia Avenue, Fort Pierce FL 34982
Phonle: (772) 462-1553 Fax: (772) 462-1578 Commercial
Residential x
PERMIT APPLICATION. FOR: Other -
6LANNED
PROrPOSAEDIMPROVEIVIENT LOCATION:
BY
Address: 10619 Pine Needle Drive Fort Pierce, FL
1 Lucie County
I
Legal Description:
Pine Hollow - Unit two - Lot 22 (1.016 AC) (OR 1718-2408)
Propeiy Tax ID #: 2321-802-0024-000-8
Lot No.
Site Plan Name:
Block No.
PrdjectlName:
Setbaclks Front Back: Right Side._ Left Side:
jD IMAILED�DESS
RIPTION OF WORK: '
Extend, pool deck with wood deck on concrete footer surrounding pool
CONSTRUCTION INFORMATION:
itiolna workto je performed under is permit —checka apply:
❑HVACLJ Gas Tank Gas Piping Shutters Windows Doors
— I — ❑ P g — Q /
Electric 0 Plumbing Sprinklers Q Generator Q Roof Roof pitch
Total Sq. Ft of Construction: 7 5 t S . Ft. of First Floor:
I
Cost of Construction: $ 12 �V o Utilities: _ Sewer ElSeptic Building Height:
'OWNER/LESSEE:
CONTRACTOR:
NarneScOtt & Stephanie tQmmelman
Name: Don Hinkle
Address.10619 Pine Needle Dr
Company: Don Hinkle Construction
City: Fort Pierce State: FL
Address: 219 Hunt Ave
Zip Codie: 34945 Fax:
City: Fort Pierce State: FL
Phone No. 772-812-1766
Zip Code: 34946 Fax: 772-467-1348
E-Mail:
Phone No. 772-528-2249
Fill in fee simple Title Holder on next page (if different
E-Mail: donhinkle@bellsouth.net
from the Owner listed above)
State or County License: CGC 036040
it value of construction is SZ5UU or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: /YI ; ac��
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: O 6,
City: ; ePL a-c�
Zip: sv Phone tic
_
State:
- -7 757
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Ad d ress: 219 Hunt Ave
City: �
Address:
City:
Zip: Phone:
Zip: Phone:
I
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 witkany 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
commencing work or recording vour Notice of Commencement.
c
I ton n
Signat re of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF S>(.
The�orgoing instrument was acknowledged efore me
this l day of `1Jt�J 20by
Da,n W%v,,lc1�
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced L^
of Notary Public
i No. L-Vdsd
REVIEWS I FRONT
COUNTER
Rev. 8/2,
MpTt1E GI p�d23
F� SSICe1nbnr�8, �39
%tP� NotaNpubllCUndanvtl
ZONING SUPERVISOR
REVIEW REVIEW
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OFS-- , L %� R
The forgoing instr`ment,was acknowledgbefore me
this �� day of N dV .20A by
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Producedq) t--
ature of N '$
nission No.
JI¢ VEGETATION
j/ REVIEW
MARIE GNM
$JtJ!B �+ilbhr 6.2etwritors
20
Thru note
SEATURTLE I MANGROVE
REVIEW REVIEW