HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: S� �'3 1 �� Permit Number:-\ �3�a
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Building Permit Application
Planning and Development Services
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
PROPOSED IMPROVEMENT LOCATION:
Address: 7112 Maidstone Dr Port St Lucie, FL 34986
Legal Description: MAIDSTONE LOT 97
Property Tax ID#: 3322-505-0106-000-1 Lot No.97
Site Plan Name: Knight Block No.
Project Name: Knight
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install a 20' x 10' aluminum/screen enclosure under trussed roof(in fill).
CONSTRUCTION INFORMATION:
Additional work toe e orme un ert ispermit—c ec a appy:
HVAC Ei Gas Tank Gas Piping _Shutters Windows/Doors
Electric F Plumbing Sprinklers M Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 2,250.00 Utilities:0Sewer Septic Building Height:
.OWNER/LESS'EE: CONTRACTOR:
Name William and Kathleen Knight Name: Michael J Newman
Address:8011 Plantation Lakes Dr Company: Pioneer Screen Co. Inc. II
City: Port St Lucie State:FL Address: 1682 SW Biltmore St
Zip Code: 34986 Fax: City: Port St Lucie State:FL
Phone No.519-1134 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
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTALrCONSTRUCTION LEEN LAW INFORMATIQN
DESIGNER/ENGINEER: _ of Applicable MORTGAGE COMPANY: ✓ Not Applicable
N a m e:P"im.&AsseeFetes Name:
Address:.P-e Address:
City:Tames State:-Ft-- City: State:
Zip: Mug— Phone- g— Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: i/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 priorto 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 fir nspection. If u intend to obtain financing, consult wi lender or attorney before
commend work or recor I our Notice of Commencement.
Signat a of Owner/'Lessee/COntractor as Agent for Owner Signat re of Contr or/Li ense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF saintl_ucie COUNTY OF saintLucie
The fo oing instrume t was acknowledged before me The for oing instrument as acknowledged before me
this L day of r 20 by this�day of 20 by
Michael J Newman Michael J Newman
Name of person making statement Name of person making statement
Personally Known V" OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identifi tion Type of Identificatio
roduced Produced
(Signatu a of Notary Public- nature of otary Publ' -
M�°++ Notary Public State of Florida �+► ° Notary Public State of Florida
Commission No. GG221434 7(Sw*cene Newman Co mission No. GG221434Fra 1I'p1�'ewman
y My Commission GG 221434MY�S6ion GG 221434
G/qo Expires 05123/2022 • of�o� Expires 05/23/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17