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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3 aQ, 1 Permit Number: ®1AISS
RECEP. -D MAR 2 2 7.017
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 without concrete
PROPOSED I,IVIPROVEMENT-L:OCATI'ON
Address: 11175 Muller Rd Ft. Pierce, FL .34945
Legal Description: Oak Creek Estates_Lot 2
Property Tax ID#: 2333-800-0003-000-6 Lot No.2
Site Plan Name: Walker Block No.
Project Name:
Setbacks Front Back: Zo I Right Side: 53 Left Side: 66
DETAILED DESCRIPTION OF WORK r
F yi
Install an aluminum/screen pool enclosure 58'1" x 49' on slab by pool company. Install poly roof 15' x
24' on slab.
CONSTRUCTION INFORIVIATIO:N
Additionalwork to be nerrormed un ert ispermit—checka apply:
�HVAC Gas Tank Gas Piping L1 Shutters a Windows/Doors
Electric ❑ Plumbing ❑Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 27,255.80 Utilities:Sewer 0Septic Building Height:
OWNER/LESSEE CONTRACTOR: _.
Name Evelyn Walker Name: Michael J Newman
Address:11175 Muller Rd 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.878.7752 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: Y ,
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 property. A Notice of Commencement must be recorded and posted on the jobsite
before the fir inspection. If you intend to obtain financing, consult Jh lender or an,,attorney before
commencipp,,work or recorfift your Notice of Commencement.
01
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Signatu a of Owner/ ssee ntractor as Agent for Owner Signature-of Contract /Licen a Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 9aintLucie COUNTY OF Saint Lucie
The for oing instrument was a me The forgoing instrument was . ed before me
this �� day of T1 r ;' "" A RLY S WALL �� day of �lQ Y : ' ?0 LY S WALLACE
71
MY COMMISSION#GG 3777 MY COMMISSION#GG02377
°aa" EXPIRES November 03, ,'"'•T;,"+` EXPIRES November 03,2020
Michael J Newma� ' "'` Q11�h el J Newman
(Name of person acknowledging) a of person acknowledging)
Lt_Qr,_"ace-, a-r-�7
(Signature of N ary Public-State of Florida) (Signature of Notarg Public-State of Florida)
Personally Known x OR Prod c Personally Known x O C�,
Type of Identification Produced :+� 'c= BEVERL �Yp�GO entification Produc '' �` %: BEVER C
MY COMMISSION#G j MY COMMISSION#G002377
Commission No. 00023777 4' I) EXPIRES Novembe p �� on No. 00023777 E�November 03,2020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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