HomeMy WebLinkAboutBuilding Permit Application J
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: LCV` �1 Permit Number:�' �,ap�0
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•^ RECEIVEDi
Building Permit Application Alli 19 1020
Planning and Development Services
9 9 Permitting Department
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
St.Wc�e Coull �
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
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PERMIT APPLICATION FOR: Aluminum without concrete II
PROPOSED IMPROVEMENT LOCATION:
Address: 8406 Mulligan Cir Port St Lucie, FL 34986 II
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Legal Description: POD 20A AT THE RESERVE PUD II CASTLE PINES LOT 37 �I
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Property Tax ID#: 3327-801-0045-000-9 Lot No.37I
Site Plan Name: West Block No.
Project Name: West
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION OF WORK:
Install a 14' x 6' aluminum/screen enclosure under covered roof (in fill only).
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,CONSTRUCTION INFORMATION:
Additional work to be nertormed under t ispermit—check a appy:
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HVAC _Gas Tank ❑Gas Piping MGenerator
TIShutters Windows/Doors
Electric Plumbing Sprinklers Roof Roof pitch
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Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 1,250.00 Utilities: _Sewer ElSepticBuilding Height:
-OWNER/LESSEE: CONTRACTOR:
Name Charles West Name: Michael J Newman
Address:615 SW 179TH PL Company: Pioneer Screen Co. Inc. II
City: Normandy Park State:WA Address: 1682 SW Biltmore St
Zip Code: 98166 Fax: City: Port St Lucie State:FL
Phone No.425-218-3380 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
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If value of construction is$2500 or more,a RECORDED Notice of commencement is required.
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SUPPLEMENTAL CONSTRUCT{ON LIEN LAiN INfOR(VfAT
fON
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: ✓ Not Applicable
Name: Name:
Address:an a^V 10039 Address:
City:.;=aa, State:-� City: State:
Zip: Phone aa4wA55' Zip: Phone:
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FEE SIMPLE TITLE HOLDER: ✓ Not Applicable BONDING COMPANY: a Not Applicable
Name: Name:
Address: Address:
City: City: II
Zip: Phone: Zip: Phone:
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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. I
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. I you intend to obtain financing, consult with lender or an attorney before
commencin brk or reco In our Notice of Commencement.
Signat re of OwneW Less a/Contractor as Agent for Owner Signatur6 of Contra ct6r/Lic6n se Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sa;ntwcie COUNTY OF SaintLucie ti
The f�Q�oing instru ent was acknowledged-before me The for oing instru nt was acknowledged before me ,'I o
this J�day of 20by this�day of 200 by
Michael J Newman Michael J Newman ! a
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Name of person making statement Name of person making statement II z
Personally Known i/ OR Produced Identification Personally Known- ✓ OR Produced Identification
Type of Identificati Type of Identification IF ,
Pro uced Produced(Signatur f Notary Public-State of Florida) S' nature f Notary Pubi �a+Pu Notary Public SieGG221434 pu ry Public State of Flori GG221434 Fra e,;!Commission No. Qc�(S ' �o fission No. � �r nene Newman nr,My Commission GG 2214 dt' Expires 05/2312GExpires 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
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