HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
C O iti
'�-
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/screen enclosure with concrete
PROPOSED IMPROVEMENT LOCATION:
Address: au I rlantatlon Laxes Ur Port St Lucie, FL 34113,
Property Tax ID #: 3321-803-0030-000-9 Lot No. 24
Site Plan Name: RESERVE PLANTATION PHASE IIA LOT 24 Block No.
Project Name: Smith
DETAILED DESCRIPTION OF.W(?RK:
Form and pour a 12' x 37' concrete slab addition to existing pool deck with 8" x 8" footers and install a 38' x 37' aluminum/screen pool enclosure.
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: $ 22,110.00 Utilities: —Sewer _Septic Building Height:
OW N ERAESSEE:
CONTRACTOR:
Name Ronald H Smith
Name: Michael J Newman
Address: 8012 Plantation Lakes Dr
Company: Pioneer Screen Co. Inc. II
City: Port St Lucie State:
Zip Code: 34986 Fax:
Phone No. 626-221-1190
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
-� ., �.............. o�........w i.--n--nnenc rs regwreu.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: - Not Applicable
Name: oP amsasa ;aces
Name:
Address: ao Box 10039
Address:
City: Tempa
Y State: FL
City: State:
Zip: 336n Phone813-3575955
Zip: Phone:
FEE SIMPLE TITLEHOLDER: Not Applicable
BONDING COMPANY: i Not Applicable'
Name:
Name:
Address:.
Address:
City:
City:
Zip: Phone:
Zip: Phone:
m,vlwv 11. Hppncavon Is nereoy mane to obtain a permit to do the work and installation as indicated.
I certify that noworkwork or installation has commenced prior to the issuance of a permit.
which is in conYlicmtawith anyappliccableiHO a Owners Association ru esauthorize
bylaws or and covenants that maya estrictbor 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 OWN :Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to property. Notice of Commencement must be rec ed and pos on the jobsite
before th i coon. If y tend to obtain financing, consult wi der or an to ney before
e.3 .. � 4:..2�._ .
FSignatureo4Owner/Le
a /Contractor as Agent for Owner
-. Sign7;L�rofContra /Llcel se Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF sam was
COUNTY OF �w w
The f ping instru ent was cknowled d before me
this of LZ
The fo ng instr nt was acknowledg d before me
clay
—day . 2VO by
this of Zpby
Michael J Newman
Michael J Newman
Name of person making statement
Personally ✓
Name of person making statement
Known OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identificatio
Type of Identificat' n
Produced
Produced
(Signature o)/NotaryPubli tate o
(Signatur of Notary Publi - State of Florida 1.
�q public State of Florida
Commission No. GG221434 a ' ° 4 'F0,a Ne-man
GG 221434
1
Commission No. cc22ta ° Notary P(Spaj)late of Florida
"Al Commission
.4� p Expiros 0512312022
r Francene Newman
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c. My Commission GG 221434
Expiies 05/23Y2022
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