HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATIO1 TO BE ACCEPTED
Date: Permit Number:
5�r LaLzir
a "M"M1;. Building Permit Application
Planning and Development Services
Building and Code Regulation Division COmmercia Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:Alurninurn without concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 2680 Conifer St Fort Pierce, FL 34951
Property Tax ID #: 1334-506-0007-000-2 Lot No. 50
Site Plan Name: FIRST REPLAT IN MEADOWOOD UNIT THRE LOT 50 Block No.
Project Name: Ruston
DETAILED DESCRIPTION OF WORK:
Install a 40' 1" x 26' aluminum/screen pool enclosure on slab by
New Electrical Meter Second Electrical Meter
company.
i CONSTRUCTION INFORMATION: I I
Additional work to be performed under this permit — check al that apply:
_Mechanical _ Gas Tank —Gas Piping Shutters _ Windows/Doors Pond
_ Electric — Plumbing _ Sprinklers Generator
Total Sq. Ft of Construction: Sq Ft. of First Floor:
Cost of Construction: $ 10,440.50 Utilities: Sewer _ Septic
Roof Pitch
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Ronald and Deborah Huston
N
Company:
A
City:
Zip
Plione
E
S
me: Michael J Newman
Address: 2680 Conifer Dr
Pioneer Screen Co. Inc. II
City: Fort Pierce State: 0—
Zip Cade: 34951 Fax:
Phone No. 878-7752
dress:1682 SW Biltmore St
Pod St Lucie State: FL
Code: 34984 Fax: 772-340-4626
No 772-340-4393
E-Mail:
Fill in fee simple Title Holder on next page i if different
from the Owner listed above)
Mail pioneerscreen@msn.com
to or County License RX11066919
It value of construction is Z500 or more, a RECORDED Notice of Com�encement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commenc ment is required.
i WY
SUPPL WENTAt Ct] IST ATI
IoR
RTGAGE COMPANY: _ Not Applicable
DESIGNER/ENGINEER: _ Not Applicable
Name., Do Kim&Associates
M
Nime:
Ac
Ci
Zip:
Address: PC) Box 10039
dress:
City: Tampa State: FL
Zip: 33679 — Phone 813-857-9955
y: State:
phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING
W
Ad
Ci
Zip.
COMPANY: Not Applicable
me:
Address:
dress:
City:
_
y:
Zip: Phone:
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 issu
nce of a permit.
St. Lucie County makes no representation that is granting a permit wil
which is in conflict with any applicable Home Owners Association rule;,
authorize the permit holder to build the subject structure
bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and rev
ew your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby
gree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes an
St. Lucie Counts Amendments.
The following building permit applications are exempt from undergai
g a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen roorris
and accessory uses to another non-residential use.
WARNING TO OWNER. Your failure to Record a Notice of Co
A,N'dtice Commencement
improvemenF'01
mencement may result in your paying twice for
your property. of
before the fi5 ectim If o ntend to obtain financing
co ei cinRk or reoordinwotar Notice of Commerce
must be rec�r�ed and posted o e jobsite
, consult wi d1 I der or an attor ey efore
ent. / a
Signature bf Owner/ Les a ontr ctor as Agent for Owner
5
nature f Contractor Lic se Hod
STATE OF FLORIDA
STATE
OF FLORIDA
COUNTY OF saint Lucie
COUNTY
OF saint Lucia
ng instr ent was acknowledged before me
The f r g instr ent was acknowledged before me
Thefor
this(�day of 2 by
the
day of 20P6 by
Michael J Newman
Mi
hael J Newman
Name of person making statement
Name of person. making statement
Personally Known V OR Produced Identification
Personally
Kno OR Produced Identification
Type of Identifi i n
Ty
e of Iden ication
Produced
r
duced
{Signatu e of Nota ub ic- State of Florida
gna ure of Notary Pubic- State of Floric
a }
Commission No. G�2zta3a ° a r1p8Wl]pubilc state of Florida
r rand ne Newman
mi55ion N(}. GG221a Kota
i���tate of Florida
My Commission GG 271434
n4��Ya�
Fran
ene Newman
e spa Expires 051233l2022
04
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of MI) Expire
mmission GG 221434
05123J2022
REVIEWS
FRONT
—VA
ZONING
SUPERVISOR
P
NS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
_RECEIVED
DATE
COMPLETED
Rev. 8/2/17