HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:Aluminum without concrete
PROPOSED IMPROVEMENT LOCATION
Address: 9008 Short Chip Cir Port St Lucie, FL 34987
Property Tax ID#: 3334-501-0182-000-2 Lot No.44
Site Plan Name: LAKES AT PGA VILLAGE BLK D LOT 44 Block No. D
Project Name: Brown
[DETAILED DESCRIPTION OF WORK:
Install a 40' 1"x 24' aluminum/screen pool enclosure on slab by pool company.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Pond
_Electric _Plumbing _Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 11,571.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Andrew Brown and Donna Madafferi Name:Michael J Newman
Address:9008 Short Chip Cir Company:Pioneer Screen Co. Inc. II
City: Port St Lucie State: - Address:1682 SW Biltmore St
Zip Code: 34986 Fax: City: Port St Lucie State:FL
Phone No.878-7752 Zip Code: 34984 Fax: 772-340-4626
E-Mail: Phone No 772-340-4393
Fill in fee simple Title Holder on next page(if different E-Mail pioneerscreen@msn.com
from the Owner listed above) State or County License RX11066919
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION;
DESIGNER/ENG NEER:- Not Applicable MORTGAGE COMPANY: L,--ffo__t Applicable
Name: S Name:
Address: Address:
City: I XL State: City: State:
Zip: �'. Phone - "� Zip: Phone:
FEE SIMPLE TITLE HOLDER: Alot Applicable BONDING COMPANY: _ of Applicable
Name: Name:
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 MAfRULT 1N YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENTT BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION, IF YOU TEND TO OBFINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR ICE OF MENT."
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Signature o Owner/Lessee/Contractor as e fi Jbr owner Signat re of Contra tar/Licen Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me The for o'ng instrument was acknowledg d before me
this Z , day of ` { c��aer.2iJ by this { bay of 6 L'b 6 L 1,2 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification X Personally Known L,- OR Produced Identification
Type of Identification Type of identification
Produced DRIVER LICENSE Produced
{Signature o Notary Public-State t E{,a wcY gaROG40 (Signature of N tary Pu -State 0
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Notary Public-State of Florida �fa'?t; �apq R`PuhIiGState f I rida
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Commission NoC-gr-1y14 o 'S Iomm.ExpiresOx4,2023 Commis ion o. I`� Y Ly ranceneNewma
Bonded through National NotariAssr.. �,,_... :, I+,ty Commission GG 22 1434
_ Meaux ExPres05/23/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 7/7/19