HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE OMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: V n
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- Building Permit Applicati A 06%
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 TYPE:Aluminum with no concrete j
PROPOSED IMPROVEMENTLOCATION:" 4.s
Address: 4570 S Ocean Dr Fort Pierce, FL 34949 j
Property Tax ID#: 2529-343-0003-010-2 Lot No.
Site Plan Name: Landers Block No.
Project Name: Landers
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DETAILED DESCRIPTION OF WORK
Install a 20'x 19'and a 18'x 19'aluminum/screen enclosure under covered roofs. riAt U
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CONSTRUCTION.INFORMATION;
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Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction:; Sq. Ft.of First Floor:
Cost of Construction:$ 5,240.00 Utilities: _Sewer _Septic Building Height:
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OWNER/LESSEE CONTRACTOR
Name Gwendolyn Landers Name:Michael J Newman
Address:4570 S Ocean Dr Company:Pioneer Screen Co. Inc. II f
City: Fort Pierce State:r(, Address:1682 SW Biltmore St
Zip Code: 34949 Fax: City: Port St Lucie State:FL
Phone No.260-2514 Zip Code: 34984 Fax: 772-34074626
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.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION -
DESIGNER/ENGINEER: _Not Applicable T MORTGAGE COMPANY: _Not Applicable 5
Name mei( rites Name:
Address: 9 Address:
City"- State-:-rL- City: State:
Zip: - Phon 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 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 i pection. If yo ' tend to obtain financing, consult with lender or an attor before
commencin o
k or recordin ur Notice of Commencement.
Signature f owner/L see/Co tractor as Agent for Owner Signature of Co tractor/Lic nse H Ider
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Saint Lucie COUNTY OF saint Lucie
The forgoing instpent was acknowledged before me The forgoing instr ent was a kF nowledg��efore me
this2�iay of later 20_a by this n qday of �_,20 b
Michael J Newman Michael J Newman
Name of person making statement Name of person making statement
Personally Kn wn ✓ OR Produced Identification Personally Known ✓ OR Produced identification
Type of Ide I (cation Type of Identification
Produce Produced /17
(Signa re of Notary Public- t t rlda) ignat a of Nota - a e of Florida)
�o'P& Notary Public State of Florida
GG221434 F n ne Newman M• NotaCommission No. V Ww"(fission GG 221434 mmission No. GJ;0 Notary Public b�Florida
"? u� Expires 05123/2022 ncene Newman
Ay omm.
ur►� 00F.M10 Expires 05Ission 2GG 2 221434
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17