HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7-27-16 Permit Number: r
ECE
Building Permit Application AUG a 1 201
Planning and Development Services PERMITTiNG
Building and Code Regulation Division 5t. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: 2201 NW River Branch Dr. Fort Pierce FL 34981
Legal Description: River Branch Estates
Property Tax ID#: 7�`� '`� / Gd —66(3 — io Lot No.20
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: f
installion of 3 exterior doors. siS'�Y`OS
CA k4 e 3-
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check_ all appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$�0 (�� , G QS Utilities: _Sewer 0 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Gennaro Picardi Jr. Jennifer Picardi Name: Ed Mckenna
Address:2201 NW River Brach Dr. Company: Edward S Mckenna Inc.
City: Fort Pierce State:FL Address: 1290 SW Biltmore St. unit G
Zip Code: 34981 Fax: City: Port Saint Lucie State:FL
Phone No. Zip Code: 34983 Fax:
E-Mail: Phone No. 772-460-9270
Fill in fee simple Title Holder on next page(if different E-Mail: edmckennainc@aol.com 9
from the Owner listed above) State or County License: 0@&4-32-42N C�C 1 dS7
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 our Notice of Commencement.
--- s
_Signature of Owner/Lessee/Agent Signature of Contrac or icense Holder
STATE OF FLORIDA/ STATE OF FLORIDA
COUNTY OF— L- lwo 91 COUNTY OF
The forgoing instfgment was a knowledged before me The forgoing instr me was cknowledged before me
this_L_day of 20 Lo-by this J_day of 20 J-(g-by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-Aate of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
. ommCommission No6 N S. NIELSEN ission No.
K&W S. NIELSEN
�'•° ` Commission S FF 11563711
Commission 8 FF 115637
*= M Commission Expires My Commission Expires
June 12, 2018 June 12, 2018
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS