HomeMy WebLinkAboutMasterson SLC Permit app & checklistAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION a BE ACCEPTED
Date:
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Planning and Development Services
Permit Nu r r:
Building Permit Applica#ion
Building and Code Regulation Division Com mercia I Residential x
2300 ilirgrnra Avenue, Fort Prerce FL 34982
Phone: (772) 462-1553 Fax: (772) 452-1578
PERMIT APPLICATION FOR.AlUI71111UCY1 without(5%
oncrete
PROPOSED IMPROVEMENT LOCATION:
Address: 8321 Belfry PI Port St Lucie, FL 34956
Property
Tax ID
#: 3327-701
-0a72-aoo-o
Site Alan
Name:
POD 28 AT
THE RESERVE LET 69
Project Name-- Masterson
DETAILED DESCRIPTION OF WORK:
instal! a 42' x 21' 9" aluminumiscreen pool enclosure on slab by poo company.
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION,
Additional work to be performed under this permit — check all th t apply:
Mechanical
Electric
Gay Tank
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: S 103700.00
OWNER/LESSEE:
Gas Piping
Sprinklers
Y shutters
Generator
Lot N a. 69
Block No.
Windows/Doors hand
Roof Pitch
q. Ft f First Floor:
Utilities: Sewer Septic Building Height:
Name Linda Masterson
Address: 8321 Belfry Pl
City., Port St Lucie
State:
�
Zip Code: 34986 Fax:
Phone No. 502-777-801
E-Mail:
Fill in fee siomple Title Holder on next page if different
from the Owner Ifd above)
CONTRACTOR: ,
Na
r : Michael J Newman
Company: Pioneer Screen Co. Inc. 11
Addr?-ss. 1682 SW Biltmore St
r
City: Pork St Lucie State: FL
Zip Code. Fax: 772-340-4626
Ph772-340-4393
E-lea 1 Pioneersereen@msn.com
Stat 11 or County License RXI 1066919
If value of construction is 2500 or morel a RECORDED Notice of Comme cementi"st
I f va I u e of HAVC is $7,500 o r mo re, a RECORDS D Notice of Com m en cep nt is r*
S U P P LEME N' L -C 0'N2'S'0T R U CT11M LIE. -N, LAW-1 N FO, MA`0 N
DESIGNER/ENGINEER: 'Not Applicable M RTGAGE COMPANY-. � Not Applicable .
Name; ov Kim &Associates
Nare:
Address: PO Box 70039 Address:
City: Tampa Skate: TL � ciqrState. �
Zi P: 33679 Phone&13-3-51 -�s�� Zi � shore: i
FEE SIMPLE TITLE.HOLDER-0s Not Applicable B 14DING COMPANY: �NW Applic'able-
Nanne: Na ie:
Address:_ - .... Ad ens:
City:
Ci#
zip: Phone: Zip Phan: {
OWN EF�f CONTRACTOR AFF1DVI�': Applicat;or� is hereby Made t obtain a p�r,�it to do the work ar�c� ins�a!�atiar as ;�!ic�taa.
I certify that no 3rvo€-k or installation has commenced prior to the issuan e of a,permit.
St. Lucie Count y makes no representation that is granting a permit vi��li authorize the permit holder to build the subject structure
which is in canlict with any applicable Home Owners Association rules„ ylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and revidiv your deed for any restrict -ions which may apply.
In consideration of the granting of this requested permit, I do hereby aee that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and � .Lucie County Amendments.
The following building permit applicaf-ions are exempt from undergoing') f�,�!I ce^currency review: room additions,
accessory structures, swimming pods, fences, v�ralfsr signs, screen roam and accessary uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Nonce of Co encement may result in your paying twice for
improvements to r property. A Notice of Comm encem� must be recorded and pasted on the job,5ite
before the firstak
ecfiion. !�F yo � tend �Q obtain �inanci�g consult wi eider or an rney before
com nCin or recordi ur Notice of Commence t.
r
Sign atur� of Own ertze'sseejCantractor as Agent for owner
SignNture of Contra
r/Licepse'Holder
STATE OF FLORIDA I STA E OF FLORIDA
COUNTY OFSaintuQe COINNTY OF saint Lucie
The forgoing instrument way aci�novv#edged before me
this day ofWV
.lf�L � 2p� by
Michael J Newman
None ofperson making statement
Personally Known R Produced Identification
Type of Identifi a
Produced }
f
(Signaturefof Noto r P i -
Commission Igo_ GG221434
L
REVIEWS
DATE
RECEIVED
DATE
I COMPLETED
Rev. 8/2/17
FRONT
COUNTER
i' # public, State of Flock
wrl
NAY Gyon GG 221434
ZONING
REVIEW
SUPERVISOR
REVIEW
The fg rgoing hnistruim nt was c.' II /I d f + e nee
bi 2C�-�- by
M1c:hae1.J Newman
Name of person making statement
Personally Known ���"� R Produce. Identification
f I dery �fi� �.
rod • c u xxi
Ig to of Notary Pu a of Florida
Kf Pr,
Millis ion No. GG2214 Florida
G
xi a
W-
PLA S VEGETATION SEATURTLE MANGROVE
REV14 REVIEWREVIEW REVI EW
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Pro I ect Location:
Permit Number-0
Re u�re� I�o����n�s Q
Applicatioii-co
mpletely filled out with Notarized Signatures
Sub Agreements With No anzed S
Owner Builder'Affidavit'(sign'
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Filled Land
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Recorded .
�'� Deed f Iil. y
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Recorded. NOtice "of
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Utility Agreement or Paymen'tRec to issuance ok S i
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V. Cgetation Removal
Application with copy of survey,
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT - -
Bul"Iding & Cody Regulation
VWERCL41 BUMD
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Health DcPartment Food Establis
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Signed Energy.calcw
Health De.pa'ften
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Product Review Affidavit,,
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Health s •
Deparbment pest papp
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Fire De.partm�n
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Coma of Engineers' (dock, seawall, ,
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