HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I Permit Num
l y®
Building". Permit ApplicatioLResien
AN 1 5 2019
Planning and Development services ng Department Building and Code Regulation Division cie Count , FL
2300 Virginia Avenue, Fort Pierce FL 34982 y
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: Aluminum with concrete
PROPOSED IMPROVEMENT.LOCATIONs
BY
Address: 13827 S INDIAN RIVER DR. 3 St r a
Legal Description: LAKE MANOR PARK COOPERATIVE SITE #23( UNRECORDED AFF)
Property Tax ID #: 4509-805-0023-000-2
Site Plan Name:
Project Name:
Sf
Setbacks Front Back: _�15 ' Right Side: r Left Side:
Lot No.23
Block No.
DETAILED DESCRIPTIOMOF,.WORK:
BUILD 13' X 42' OPEN CARPORT WITH POLY INSULATED ROOF
WITH CONCRETE
n d eC��oG'ai
CONSTRUCTION INFORMATION:`
Additional wor to Tiertormed
EIHVAC
under
GasTank
tispermit—check
❑Gas Piping
all appy:
_Shutters
❑Windows/Doors
11 Electric 0 Plumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
Sc —F—t.� of First Floor:
Cost of Construction: $ 9}3100
Utilities:
Sewer Septic
Building Height:
OWNER/LESSEE r�� ' `_
CONTRACTOR ;
NameJOHN CIANCHETTI
Name: MATTHEW MARKS
Address:117 W MUNTZ AVE.
Company: EAST COAST ALUMINUM
City: BUTLER State: PA
Zip Code: 16001 Fax:
Phone No.724-355-6339
Address: 913 EDWARDS RD
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-464-7603
Phone No. 772-464-7600
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: ECAPINC@HOTMAIL.COM
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION. LIEN_LAW_INFORMATIONl — M — - ---
DESIGNER/ENGINEER: _ Not Applicable
Name: FLORIDA ALUMINUM ENGINEERING
MORTGAGE COMPANY: _ Not Applicable
Name:
Addre$S:WOMARINERSTREET SUITE 110
Address:
City: TAMPA State: FL
Zip: 33609 Phone813-374-2403
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
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 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
commencing work or recording vour Notice of Commencement.
IWLI
'IJ
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF CT. LyeiE
COUNTYOF S'r• [uctr
The folding instrument was acknowledged before me
The forking instrument was acknowledged before me
this g day of J'AMN4141 20101 by
this °l dayof ,TANuALy 20A by
MATTNEW MALIKy
M4TT4WEW MALK?
Name of perso�np aking statement
Name of persorlmaking statement
Z/
Personally Known V OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of lord
Si
ature of Notary Public- S
• • ��•. DONALD M. HOLMAN
Commission No. FFI 9 3 °""" °`ate'.• (55rr �l
e' ro��iy Public - State o1 FI
• ""'•. DONALD M. HOLM
+"pY P`a'•�
mission No.�F't®3iY° "�• �`� S� ry Public - State of
ri�P
p ,
_ . •; Commission # FF 9132
0
_• . . •: Commission # FF 913
;• My Comm. Expires Sep 2�
�'%;;o.nQ�
F My Comm. Explfes Sep 20,
•
019
Bonded through NafforiaLft
Wim••
REVIEWS
FRONT
PLANS
VEGETATION
SEA TURTLE
MANGROVE
N
S P SOR
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17