HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLEIII-NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r!�
Date: 2-; (P Permit Number: — O 61
Planning and Development services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
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Building Permit Applicatioru".."'I",* o �1p10
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Commercial Residential X
PERMIT TYPE: Aluminum without concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 10646 Pine Needle Dr Fort Pierce, FL 34945
Property Tax ID #: 2321-802-0014-000-5
Site Plan Name: McWhorter
Project Name: McWhorter
DETAILED DESCRIPTION OF WORK:
Install a 43' x 48' 2" aluminum/screen pool enclosure on slab by pool
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical
Electric
_ Gas Tank
Total Sq. Ft of Construction:
Plumbing
Cost of Construction: $ 13,885.00
_ Gas Piping
_ Sprinklers
Shutters
_ Generator
Sq. Ft. of First Floor: _
Utilities: _Sewer _Septic
Lot No.12
Block No.
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Jeremy and Melissa McWhorter
Name: Michael J Newman
Address:10646 Pine Needle Dr
Company: Pioneer Screen Co. Inc. II
City: Fort Pierce State-.w
Zip Code: 34945 Fax:
Phone No.201-3900
Address:1682 SW Biltmore St
City: Port St Lucie State: FL
Zip Code: 34984 Fax: 772-340-0626
Phone No 772-340-4393
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail pioneerscreen@msn.com
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 $7,50D or more, a RECORDED Notice of Commencement is required.
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 ur property. A Notice of Commencement must be recorded and posted on the jobsite
before the first ' ection. If y intend to obtain financing, consult with lender or an att ey before
commen ' or recordi our Notice of Commencement.
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Rev.B/2/17
SUPPLEMENTAL`
CONSTRUCTION LIEN LAW INFORMATION
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DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY:
Not Applicable-
Name:onxlmsasseaates
Name:
Address: Posox,003s
Address:
City: Tampa
State: FL
City:
State:
Zip:3as�s Phoneel3-ss�-ssss
Zip: Phone:
i
FEE SIMPLE TITLE HOLDER: _Not
Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
Signatur of Owner/ L ssee/C tractor as Agent for Owner
Signature of ontractor/Li ense Ider
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF seem vela
COUNTY OF saim wue
The forgoing instrum'e�t�'�was packnowledged before me
The f rgoing instryur'a�e�n�`t was acknowledged before me
this�dayof__�
20�gjby
this�dayof.l 20�by
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Michael J Newman
,
Michael J Newman
Name of perso9 making statement
Name of person making statement
Personally Known ✓ OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identific to
Type of Identificatio
Pr duced
Produced
(Signatur of Notary Public-S
Si nature f NotaryPublic ' �EfAiOri
GG227434 �YPty, ko Public State of Florid
Commission No, (•f4��cene Newman
GG221434 �yrn� Fctary F blic
Co missio No.State o/floritla
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for Expires 05/23/2022
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