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Home My WebLink AboutBuilding Permit ApplicationTiJr. All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED f� Date: �'%�',�,C)Q)O Permit Number:^,Ob��i0-1 Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 AP ✓y 9FC� Building Permit Applicati (GC'y 4h' CQ.d.�l Commercial Residential X PERMITTVPEWuminum without concrete PROPOSED IMPROVEMENT LOCATION: Address: 9404 Pinebark Ct Fort Pierce, FL 34951 Property Tax I D #: 1327-801-0056-000-3 Site Plan Name: Scott Project Name: Scott DETAILED DESCRIPTION OF WORK: Install a 22' x 17' aluminum/screen enclosure with poly roof on existing slab. Lot No.167 Block No. 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: $ 8,240.00 Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Glenn Scott Name: Michael J Newman Address: 9404 Pinebark Ct Company: Pioneer Screen Co. Inc. II City: Fort Pierce State: FL- Zip Code: 34951 Fax: Phone No.305-431-3368 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 Pionearscreen@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. 1'. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION DESIGNER/ENGINEER: _ Not Applicable Name: Do xim s Associates MORTGAGE COMPANY: Name: ✓ Not Applicable Add resS: PO Box 10039 Address: City: Tampa State: FL Zip: 336T9 Phone 613-857-9955 City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: 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 first inspection. If yoly intend to obtain financing, consult with leader or an atto�ey before commencing woWor recon our Notice of Commencement. � // Signature o Owner/ L see/Co tractor as Agent for Owner Signature of C ontractor/Li ense Wolder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF saint -de COUNTY OF saint Wde The for oing ins ent was acknowledged before me day The forgoing instru ent was acknowledged before me `� day this of 20%(� by this of � 20�ZPiby 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 Identifica ' n Type of Identificat ' Pr duced Produc (Signatur of Notary Publi - f (Signature f Notary Public -State of Florida GG221434 `� N0 P blic State of Florida COmmi55i n No. Fr� Newman Commission No. oc22143a ,frr• ��ee..,,''11 p°r+9�1'ublic State of Flontl My Commission GG 221434 F' Expires 0523@022 ';.i P Francene Newman 7 ' My Commission GG 221434 "�+y nod Expires 0523/2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW RECEIVED DATE COMPLETED ` Rev.8/2/17