HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
Commercial Residentiai x
PERMIT TYPEWuminum without concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 9035 Short Chip Cir Port St Lucie, FL 34886
Property Tax ID #.. 3334-501-0170-000-5
Site Plan Name: Bohan
Project Name: Bohan
DETAILED DESCRIPTION OF WORK:
Install a 40'x 22'6" aluminum/screen pool enclosure on existing deck.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit –check all that apply:
_Mechanical — Gas Tank , Gas Piping _ Shutters
Electric , Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 9,720.00
Lot No. 32
Block No. D
— Windows/Doors
Sprinklers _ Generator _ Roof Pitch
OWNER/LESSEE:
Name Patricia Bohan
Address: 9035 Short Chip Cir
City: Port St Lucie State:
Zip Code: 3498E Fax.
Phone No. 954-732-1377
E -Mail:
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed alcove)
CONTRACTOR:
Name: Michael J Newman
Company. Pioneer Screen Co. Inc. 11
Address: 1682 SW Biltmore St
City: Port St LucieFL
State:_
Zip Code: 34084 Fax: 772-340-4626
Phone No 772-340-4393
E -Mail pioneerscreen@msn.corn
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERANGINEER: Not Applicable
N a me: DO KjM & Associates
Address:Po Box tao39
City: Tampa State: FL
Zip: 33679 Phone 813-857-9955
FEE SIMPLE TITLE HOLDER. _.- Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: . Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: . Phone:
e' Not Applicable
State:
of Applicable
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 aur property. A Notice of Commencement must be recorded and posted on the jobsite
before the fir spection,;f-you intend to obtain financing, consult with lender or an att��y before
a
comm cin ork or recd d' our Notice of CommenrmPnt �7
of
STATE OF FLORIDA
COUNTY OF Saint Lucie
as Agent for Owner
The for ing instru e t was acknowledged before me
this ay of 20 by
Michael J Newman
Name of perso
Personally Known
Type of Identificati
Produced
making statement
—OR Produced Identification
(Signature 9of Notary Publi
f
Commission Na.
Notary PLIblIC State of Fiorida
GG221d34 3° �r Friaile NewmBn
• My Commission GG 221434
Expires
o° 05123x2022
REVIEWS
FRONT
ZONING SUPERVISOR
COUNTER
REVfEW REVIEW
DATE=
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Signature of
STATE OF FLORIDA
COUNTY OF Saint Lum.
The fa ming instrument was acknowledged before me
this day of 20- ' by
Michael J Newman
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
ure ottNotary Pubf
xo p ��n Notary Pobl+c State of Florida
mission No. 11221434 Fra tCefl Newm8n
hR My 6eM)sion GG 221434
Expires 0512312022
PIANS I VEGETATION I SEA TURTLE � MANGROVE
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