HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t t f
Date: Permit Number:
RECEIVED
OCT 2.91018
Building Permit Application Permitting Department
Planning and Development Services St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Aluminum without concrete
e -ON"
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PROPOSED IMPROUEIVIENT LOCATI;QN. `
Address: 8948 Champions Way Port St Lucie, FL 34986
Legal Description: LAKES AT PGA VILLAGE BILK A LOT 44
Property Tax ID#: 3334-501-0058-000-4 Lot No.44
Site Plan Name: Neron Block No. A
Project Name: Neron
Setbacks Front Back: Right Side: Left Side:
.. 3s ,� .3>-
D.ETAILED'DESCRI•P,T{ONAOF 1NORK .• r �= 1 ,
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Install an aluminum/screen porch under trussed roof.
CONSTRUCTION'INFORMATION
Additional work to be nertormed under this permit—check all that appy:
❑HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
❑Electric' ❑ Plumbing ❑Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 2,290.00 Utilities:liSewer❑Septic Building Height:
OWNER/LESSEE:, . CONTRACTOR:
Name Guy Neron Name: Michael J Newman
Address:8948 Champions Way Company: Pioneer Screen Co. Inc. II
City: Port St Lucie State:FIL Address: 1682 SW Biltmore St
Zip Code: 34986 Fax: City: Port St Lucie State:FL
Phone No.819-822-7717 Zip Code: 34984 Fax: 772-340-4626
E-Mail: Phone No. 772-340-4393
Fill in fee simple Title Holder on next page(if different E-Mail: Pioneerscreen@msn.com
from the Owner listed above) State or County License: RX11066919
1f value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
=SUPPLEMENTAL CONSTRUCTION LIEN'LA11V tNFORMATION
x Not Applicable _-_- _.,
DESIGNER/ENGINEER:'- w,
_ e MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City:-oma'— State: FL City: State:
Zip: – Phonee Zip: Phone:-
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: 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 thepermit 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 faJAice
ecord a Notice of Commencement may result in your paying twice for
improvements to your properof Commencement must be r ordedandpos onthejobsitebefore the fir inspection. If yd to obtain financing, consult itlender or an o ney before
o enci ork or reco inotice of Commence nt.
e
Signat a of Owner/Le see/C ntractor as Agent for Owner Signat a of Contrac r/Lice se Holder
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STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFsaintLucie COUNTY OF SaintLucie
The fggping instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of r' 20 by this day of U�,-�7��'j Q� ,20 by
Michael J Newman Michael J Newman
Name of person making statement Name of person making statement
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identificati rt) Type of Identificati zx
Produced / Produced
(Signatu of Notary Public-State of IorlS atu of Notary Public-State of
Notary Public State t Ibl
- -aal�3� Francene Newma (( =,!'P�aFrancene
tat o loncla
Commission No. .•al3 My Commission GG 2Cti MIS n No. C��'aa1�Jtm n
Expires 05/23/2022 G 1434
02
REVIEWS FRONT ZONING SUPERVISOR PLANS. VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17