HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: \\ as
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Eion
D
Building Permit Applica�0
rmitting
Commercial Residential x
PERMIT TYPE: Aluminum without concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 9439 Poinciana Ct Fort Pierce, FL 34951
Property Tax ID #: 1334-503-0043-000-6
Site Plan Name:
Project Name: McClatchy
DETAILED DESCRIPTION, OF WORK:
Install a 22' x 7.5' aluminum/screen enclosure with poly roof on existina slab.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 5,100.00
_ Gas Piping
_ Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor:_
Utilities: _Sewer _Septic
Lot No.41
Block No.
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Deborah and Vincent McClatchy
Name: Michael J Newman
Address: 9439 Poinciana Ct
Company: Pioneer Screen Co. Inc. II
City: Fort Pierce State:
Zip Code: 34951 Fax:
Phone No. 610-896-8022
Address.1682 SW Biltmore St
City: Port St Lucie State: FL
Zip Code: 34984 Fax: 772-340-4626
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 $7,500 or more, a RECORDED Notice of Commencement is required.
RSUPPLEMENTALCONSTRUCTION:LIEN LAW INFORMATION:, rl
:. PP ' ..,, ,.. ,
DESIGNER/ENGINEER: Not A licable .. R ._
AN
Name:oPicmanseodates MORTGAGE COMPANY: _Not Applicable
Address: PG Bax,00a9 Name:
Address:
City: Tarn State: FL City: State:
Zip: 33679
p: Phone a+3-e57-9965 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.
is in confliccttawith any representation that
Owners Associationrulesabylaws orand covenants that build
ay restrictborprohibit 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 j ectjon. If you . tend to obtain financing, consult with lender or an attorney before
comme or rec clin r Notice of Commencement.
4
ev:�
Signatu a of Owner/ Leo ee/Contractor as Agent for Owner
Signature of Contractor/.L tense older
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF saint Lucia
COUNTY OF Saul waa
The for ping instru nt was acknowledged before me
this -dayof_"161
The for Ing instru ent was acknowledged before me
21 by
"�
this dayof ZO�by
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 Identifi n
Ty a of Identificati
Produced
Pr uced
(Signatu a of Notary Public -St e o F or'da
(Signature f Notary Public-
°ty, Public State of Floritl
Commission No. GG221434 `F• ( ene Newman
aye° Notary Public Stateol Florida
Co mission No. GG Fr Newman
'a M Commission
My commission GG 221434
Expires 05/23/2022
GG 221434
for ao�' Expires 05/23/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17