HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST
`�BE COMPLETED FOR APPLICATION TO BE ACCEPTED l
Date:A1
l 1 J� i,/I! 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
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Building Permit Applicatid o �o
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Commercial Residential
PERMIT TYPE: Aluminum, no concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 8208 Kiawah Trace Port St Lucie, FL 34986
Property Tax I D #: 3327-705-0038-000-2
Site Plan Name: Six
Project Name: Six
DETAILED DESCRIPTION OF WORK:
Install a 41' 2" x 28' aluminum/screen pool enclosure.
Lot No. 37
Block No.
I CONSTRUCTION INFORMATION: I
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: _
Cost of Construction: $ 11,172.95
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Cory B Six
Name: Michael J Newman
Address:8208 Kiawah Trace
Company: Pioneer Screen Co. Inc. II
City: Port St Lucie State:
Zip Code: 34986 Fax:
Phone No. 878-7752
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.
SUPPLEMENTAL CONSTRUCTIQN LIEN LAW INFQRMATfON
,,..- . „r_.
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DESIGNER/ENGINEER: _
Name: Do Kim $ associates
Not Applicable
MORTGAGE COMPANY:
Name:
✓ Not Applicable
Add ress: PG BOX 10039
Address:
City: Tampa
Zip: 33679 Phone813-857-9955
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _
Name:
Not Applicable
BONDING COMPANY:
Name:
] Not Applicable
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 �1n,� ction. If y intend to -obtain financing, consult with Ie�der or an attpgney before
comme Ine? wbXWor recordi vour Notice of Commencement. //
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Signature of wner/ Les ee/Co tractor as Agent for Owner
Signature of ontractor/L/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTYOFsumi_ e
The fo o ng inst ent was acl nowledge before me
this day �
The for oing instr ent was acknowledged before me
this i day ewe LD✓. 20ff by
of 20� by
of vl"
Michael J Newman
Michael J Newman
Name of person making statement
Name of person making statement
Personally Known ✓ OR Produced Identification
Personally Known ✓ OR Produced Identification
Type ofldenti ation
Type of Identificatio
roduced
Prod ced
a(Si atureo Notary a o o i a
on
(Signatu eofNotaryPublic-St
e Francene Newman
�W4_q,(1da*tasyPubllcstateol
GG 2214
Notary Public State of Florida
;� Fra�r,ene,�`lewman
Cbmmission No. ,tc,,A�� commission
GG221434 0512 312022
Co ission NO. GG221434 . My Cb1�&l ion GG 221434
oF�`EY¢irea
wM1 Expires 05/23/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17