HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r� r1 /�
Date: ' Permit Number: `2—ony IP5u(
Building Permit Application`
Planning and Development Services
Building and Code Regulation Division `4%Oe
2300 Virginia Avenue, Fort Pierce FL 34982 O�,qO�$;�
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x '2 >'
PERMIT TYPE: Aluminum without concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 6310 Arapahoe St Fort Pierce, FL 34982
Property Tax ID #: 3409-703-0081-000-3
Site Plan Name: Weaver
Project Name: Weaver
DETAILED DESCRIPTION OF WORK:
Install a 41' x 28' aluminumiscreen pool enclosure on slab by pool company.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Lot No.11,12,13
Block No. 8
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing _Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 11,847.45
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Jason Merritt
Name- Michael J Newman
Address: 6429 Riverland Or
Company: Pioneer Screen Co. Inc. 11
City: Fort Pierce State:
Zip Code: 34982 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 ploneerscreen@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.
Name: Do Kun g Associates
Address: Po Box 10038
City: Tampa State: FL
Zip: 33679 phone 813-857-99s5
.a
MORTGAGE COMPANY: _ Not Applicable
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: ✓ Not Applicable BONDING COMPANY:
Address:
City:
Zip: Phone:
Address:
Zip:
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.
which is inoconflic with any applicablelHomeOwners tAssociationl rwill
esauthorize
bylaws or and covenants that may restricttbor 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 in�j�ction. If yo ntend to obtain financing, consult with Ig�7der or an a}}qrhey before
commencing wor of rPrnrdink Jnt lr Mntirc of r'n......e..�e.......� // T'y
Fure
t
Owner/Le see/Co tractor as Agent for Owner
Signature o Contractor/
tense older
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF saint woe
COUNTY OF sum l.uoe
The forgoing instru t was acknowledged � ,b,�efore me
this day
The forgoing instr nt was acknowledged before me
of Z0�iby
this day of U1d/4
y 20— by
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 of Identification
Type of Identification
P oduced
P duced
(Signature of p otary Public- Stat f 1 rida)
/
(Signature of otary Public-
.yR r.
Commission No. Gczz143a 4P VSe FI awry Public Site o1 FI
4 Gene Newman
'ea0 ISSIOn NO. GG221434
Pw. Notary Public State olFlonea
`; 1(6�q'te Newman
My commission GG 221434
morn oR' My Commission GG 22
@e, nu" Expires 05/2312022
Expires 05/23/202 14
REVIEWS
FRONT
ZONING
SUPERVISOR
S
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17