HomeMy WebLinkAboutBUILDING PERMITAll 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
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: Aluminum/screen enclosure (in fill)
PROPOSED IMPROVEMENT LOCATION:
Address: 541 Hartman Rd Fort Pierce, FL 34947
Property Tax ID #: 2407-444-0001-000-6 Lot No.
Site Plan Name: 73540FROM SECOR OF SE 1/4 OFSE 1/40FSE 1/4 RUN N433.9FT, THW25 FTFOR POB, TH N 200 FT, THW295 FT, TH S 195,85 FT, TH E295 FTTOPOB Block No.
Project Name: Barajas
DETAILED DESCRIPTION OF WORK:
Install a 34.5' x 16' aluminum/screen enclosure under existing roof and on existing slab (in fill only).
CONSTRUCTION INFORMATIONS
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 2,410.00
Sq. Ft. of First Floor: _
Utilities: —Sewer —Septic
Windows/Doors
_ Roof Pitch
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Maria Magana- Luna
Name: Michael J Newman
Address: 541 Hartman Rd
Company: Pioneer Screen Co. Inc. II
City: Fort Pierce State:
Zip Code: 34947 Fax:
Phone No. 678-533-8122
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 pioneerscreen@msn.com
State or County License RX11066919
11 vdiuc ul Gunsi(u mon Is;i"uu or more, a KMUKUtU Notice of commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
Name: -
Address:
City:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
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State:
Zip: Phone:
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A'ppficable i
... VY,rcnj e.v,v m F%M%. i VM Hrriuva 1 : Application is hereby made to obtain a permit to do the work and installation as indicated.
' 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 corcurrency 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 y property. A Notice of Commencement must be recorded and posted on the jobsite
before the first i ction. If you intend to obtain financing, consult with len-der or an attorney k ore
comma In w r or reco din your Notice of Commencement. f�' /s
Signature cif Owner/ Leee/contractor as Agent for Owner I Signature of ontractor/Licen Hol yr
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF saint Lucie
COUNTY OF Saintl.ucie
I
The for mg inst ent was.acknowledgp ' E efore me
this ��ay �,
The for. ing instrument was acknowledged before me
' Ar
of � 20 by
this of
✓_ 20 by
Michael J Newman
Michael J Newman
Name of p on making statement
Name of person
aking statement
Per: Know V OR Produced Identification
Personally Known ✓'
OR Produced Identification
T Pe of Identifi atio
Type of Identificatio
P oduced
Produced
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(Signs re of Notary b'icJState of Florida)
(Signature NotaryPu
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GG221434 .3z " Nota is State of Florida
Com Sion No. ." (����
Francene Newman
Commissi NQ. GG221434
Notary Public State. of Florid;
ne Newman
` (S11nmission
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GG 221434
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a My Commission
'asro Expires 05/23/2022
as» Ex ires 05/23,2022
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