HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3T�� Permit Number:
��,--01 RECEIVED MAR 2 12017
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 APPLICATION FOR: Aluminum with concrete
PROPOSED IIVIPROVEMENT,LOCATION u
Address: 9338 Treasure Coast St Ft. Pierce, FL 34945
Legal Description: Palm Breezes Club-Blk 9-Lot 1
Property Tax ID#: 2310-500-0157-000-8 Lot No.1
Site Plan Name: Stiles Block No. 9
Project Name: t
Setbacks Front N Back: 21 Right Side: �'S1 Left Side: 12•1
F WORK
DETAILED DESCRIPTION O k
Form &pour 12' x 20' concrete slab with 8" x 8"footer. Install an aluminum/screen enclosure and 13'x
22' poly roof on slab.
CONSTRUCTION INFORMATION
Additional work to e e orme un fer th is permit—ch ec, all Umt apply:
�HVAC Gas-Tank ❑Gas Piping Ll_Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 7,500.00 Utilities:Sewer E]Septic Building He
OWNER%LESSEE CONTRACTOR
Name William Stiles Name: Michael J Newman
Address:9338 Treasure Coast St Company: Pioneer Screen Co. Inc. II-
City: Fort Pierce State:FL Address: 1682 SW Biltmore St
Zip Code: 34945 Fax: City: ,Port Saint Lucie State:FL
Phone No.954.536.6780 Zip Code: 34984 Fax: 340.4626
E-Mail: Phone No. 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.
SU,PR.LEIVIENTAL CONSTRUCTION LIEN LAW INFORMATION;
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Do Kim&Associates Name:
Address:Po Box 10039 Address:
City: Tampa State: FL City: State:
Zip: 33679 Phone: 813.857.9955 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING_ COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 may result in your paying twice for
improvements to your prope y. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If intend intend to obtain financing, consult wi lender or an attorney before
commencingwork or recor our Notice of Commencement.
s
Signature of Owne Lessee ontractor as Agent for Owner Signature f Contractor icen a Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Saint Lucie COUNTY OF Saint Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of Mr,Yoh 20 I I by this A 6 day of rn Ct,r C.h 20 1°� by
Michael J Newm4 Michael J Newman
(Name of person acknowledging) (Name of person acknowledging)
ctGL GdGCJ
(Signature of No ry Public-State of Florida) (Signature of No ary Public-State of Florida)
Personally Known x OR Prodpea Identification Personally Known x OR Produced Identification
Type of Identification Produced a of Identification Produced
= W LLACE ; EVERLY
S WALL CE GG023777 `'MY COMMISSION#G� on No. GG023777 S 1�OM"ISSION#G
Commission No. - ) GO 77�EXPIRES Nov embe 03,2020 �?0p�P1t•`'� EXPIRES Nove
mbar 03, 20
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE /
COMPLETE 3 22 1-7 ,
INITIALS Ilk-