HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICA
Date:
Buildin
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax. (772) 462-1578 Commercial Residential X
TO BE ACCEPTED
PERMIT TYPE: Aluminum without con
PROPOSED IMPROVEMENT LOCATION:
Address: 5113 Buchanan Dr Fort Pierce, FL 34982
Property Tax ID #l: 3402-602-0023-000-8
Site Plan Name: INDIAN RIVER ESTATES UNIT 1 BLK 1
Project Name: Hailey
DETAILED DESCRIPTION OF WORK:
Install a 36' x 24' aluminum/screen pool enclosure on slab by
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check 11
_Mechanical _ Gas Tank —Gas Piping
Electric — Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 10,564.00
OWNER/LESSEE:
Permit Number:
rmit Application
& 24
company.
.hat apply:
Shutters
Generator
Ft. of First Floor:
Utiiitiesk —Sewer —septic
Name Steven and Kathleen Hailey
Address: 5113 Buchanan Dr
City: Fort Pierce State.
Zip Code: 34982 Fax.
Phone No. 859-312-2163
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of
If value of HVAC is $7,500 or more, a RECORDED Notice of Comrr
)NTRACTOR:
me: Michael J Newman
Lot No. 23 & 24
Block No.
Windows/Doors
Roof Pitch
Building Height:
npany: Pioneer Screen Co. Inc. II
cress: 1682 SW Biltmore St
Port St Lucie State: FL
Code: 34984 Fax: 772-340-4626
,ne No 772-340--4393
jail pioneerscreen@msn.com
e or County License RX11066919
cement is required.
1 is required.
DESIGNER/ENGINEER; Not Applicable
Name: Do Kim&Associates
Address: PO BOX 10039
City: Tampa State: FI-
Zip: 33679 Phone 813-851-9955
FEE SIMPLE TITLE HOLDER;
Name:
Address:
City:
Zip: Phone:
Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby m;
I certify that no work or installation has commenced prior to the i
St. Lucie County makes no representation that is granting a permit
which is in conflict with any applicable Home Owners Association I
structure. Please consult with your Home Owners Association and
In consideration of the granting of this requested permit, I do here
in accordance with the approved plans, the Florida. Building Codes
The following building permit applications are exempt from underl
accessory structures, swimming pools, fences, walls; signs, screen i
WARNING TO OWNER: Your failure to Record a Notice of
improvements to yoyir property. A ti e of Commenc(
before the -first i s ection. If you ' to d to obtain finan,
c2Lnmencing w6a or recorrlin OW Notice of Commer
Signature�f owner/ Lessee Can ractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Saint t vae
The forging instr ent was cknowledged before me
this I day of _ d e ms✓ 20,9U by
Michael J Newman
Name of person making statement
Personally Known l' OR Produced Identification
Type of Identificati
Produced 7 —
(SignaturVof Notary Pub
YF NDta��rr Pu iic State of Florida
Commission No.:GG22143a; r° r Frad�Newman
v Niy gOrnmisSlon GG 221434
91 fl.,50 Expires 05/23/2022
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
DATE
_RECEIVED
DATE
i COMPLETED
Rev. 8/2/17
IORTGAGE COMPANY: k/ Not Applicable
ame:
ddress:
ty:
p: Phone:
►NDING COMPANY:
m e:
dress:
Phone:
State:
Applicable
to obtain a permit to do the work and installation as indicated
rote of a permit.
I authorize the permit holder to build the subject structure
s, bylaws or and covenants that may restrict or prohibit such
iew your deed for any restrictions which may apply.
agree that I will, in all respects, perform the work
I St, Lucie County Amendments.
ig a full concurrency review: room additions,
'ns and accessory uses to another non-residential use
mmencement may result in your pa .g twice for
ant must be re�re ed and pos pin the jobsite
;, consult w0 Rider or an o'hey before
tai�ent. / J --,—
natk} of contracto�,r'Cicen�e Holder
ATE OF FLORIDA
)LINTY OF Saint Lucie
forgoing instrument was acknowledged before me
' , Tday of -'-, - 20 _�L) by
iael J Newman
Name of person making statement
sonally Known OR Produced Identification
ie of ldentifica ' nt )
Notary Public State of FI
Francene Newman
o MY Commission GG 221
latur of Notary Public- S i
mission No. GG2214 tale of Florida
Trn;ssi n GG 22i434
'5123l2022
kNS
IEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW