HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3 a Permit Number:
RECER.'-71 MAR 212017
Building Perm it'Appiication
Planning and Develop►nentServices
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 COrnmerciai Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line" 5�qm i�e W
PR(3POSf D II)%IyPROVEMENT LOCATION -
Address: 7304 Deer Park Ave Fort Pierce,FL 34951
Legal Description: Lakewood Park_Unit 5=Ellk 41 -Lot 7
Property Tax ID#: 1301-605-0033-000-4 —`T. Lot No.7
Site Plan Name: Wolkowsky Block No.
Project Name:
Setbacks Front Back: Right Side: I1.0 Left,Side: 34_6
DETAILED DESCRIPTION OF WORK'
Form & pour 25' x 10' concrete slab with 8" x8"footer. Install aluminum/screen pool enclosure 32'6" x
35' on existing pool.
.- CONSTRUCTION INFORMATION
Add itionaI wor to e e orme under this permit--::check,a all apply:
�HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric ❑Plumbing []Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 11,610.00 Utilities:11Sewer Septic Building Height:
OWNER/.LESSEE `CONTRACTOR
Name Ramina.Wolkowsky,' Name: Michael J Newman
Address:7304 Deer,Park Company: Pioneer Screen.Co: Inc. II
City: For Pirece State:F� Address: 1682 SW Biltmore St
Zip Code: 34951 Fax: City: Port Saint Lucie State:FL
Phone No.216.1308 Zip Code: 34984 Fax: 340.4626
E-Mail: Phone No. 3404393
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:,RX11-066919
If value,of construction is$2500 or more,a RECORDED Notice of Commencement is-required.
ti. 1 L
SUPPLE,MENTAL-CONSTRUCTION.LIEN LAIN INF.,.ORMATION,
DESIGNER/ENGINEER: x_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 TITLEHOLDER: 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 property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or a orney before
commencin ork or recor n our Notice of Commencement.
JL/r'.
s:
Signatur6 of Owner essee Contractor as Agent for Owner Signatur of Contracto/Llc t
se Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF saintLucie COUNTY OF Saint Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ) —day of fa'1 G YCh 20 aby this% day of m lL rGh 20 by
Michael J Newm4 Michael J Newman
(Name of person acknowledging) (Name of person acknowledging)
(Signature of NotMy Public-State of Florida) (Signature of N6t--arQ Public-State of Florida)
Personally Known X OR Produced Identification Personally Known X OR Pr cation
Type of Identification Produced Type of Identification Produced °'"i
ti►Rru4'. WALLAE
=+9'" EEVERLY =;3 .MY OMMISSION#GG02
Commission No. ccoz3777 (Se"s S Wq I>: i ion No. cco23777 •(S�G�iIREs 77
I�fY COMMISSION November 03,2 0
- °�; �' EXPIRES Nov # G023777
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW .REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE 3 2� 1-7
INITIALS -� '