HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE, INFO MUST BE COMPLETED: FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
h .
BUilding Per it Application
Planning and Deveiopment Services
Building --and Code Regulation Division Commercial,
2300 Virginia Avenue., Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772):462-1578
PERMITAPPLICATIO.N FOR:Aluminum with CO
Address: 8425 Muirfield Way Part St Lucie, FL 34986
Property.Tax ID #: 3328-802-0Q%-000-4
Site Plan Name: POD 27 AT THE RESERVE MUIRFIELD
Project Name: Mathes
Form and pour a 27.5' x 12' concrete slab with 8" x 8" footers and
New Electrical Meter Second Electrical'Meter
Residential X
LOT 16
Lot No.16
Block No.
a 27.5` x 12' aluminum/screen enclosure on slab.
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. I of First Floor:
Cost of. Construction: $.11,730A0Utilities.Sewer , Septic Building Height:
Name Thomas and Gail Mathes
Na
Address: 8425 Muirrield VVay
Co
City: Port St Lucie: State:
Ad
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Zip Code: 34986 Fax:
Cif
Phone No. 413-519-1003
Zip
E-Mail:
Ph4
Fill in:fee simple Title Holder on next page( ifdifferent
E-11
from the Owner listed above)
Sta
If value of construction' is 2500ior more, a RECORDED' Notice of Co
If value of`HAVCis $7500 or more, a RECORDED Notice of Comme
2: Michael J Newman
)anyc Pioneer Sdreen Co. Inc. 11
°s5:1.682 SW Biltmore St
Port St Lucie State: FL
ide: 34984 Fax: 772-340-4626
772-340-4393
or County License RX11066019
vent, is required.
is required.
UPPLE-MENTAi
'DESIGNER/ENGINEER: Not Applicable
ill.
RTGAGE`COMPANY: I Not Applicable
Name: oo lonAAssociates
Nz
Ad
Clt
me:
Address: PC) Box 10039
ress'
City: Tampa State: FL.
State:
33679
Zip: Phone 813 85T-9955
Z1
Phone:
FEE SIMPLE TITLE)1IO DFR 5 -Not Applicable
'BO
MIDING COlir7PANY: Not Applicable
Name:
Nai
Ad
Cif
Zip
le:
Address:,',
Tess:
City: "
Zip: Phone:
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made t obtain, a permit to do the work and. installation as indicated..
I certify that no work or installation- has commenced prior to the issuar ce of a permit.
St Lucie County makes no representation that is granting a permit will. uthorize;the permit holder to, build the subject structure
which is in conflict with any applicableHome Owners Association rules, bylaws or and covenants that may restrict or prohibit such
tructure.. Please consult with your Home Owners Association and reViE W' your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby a ree that I will, in' all respects; perform the workin accordance. with the approved' plans, the. Florida Building Codes and t. Lucie County Amendments.
The following building permit, appiications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences; walls, signs, screen room and accessi ryuses to another non' -residential use
WARNING TO OWNER: Your failure to Record a Notice of Go mencement may. result in.your paying twice for
improvements to yo property. A N e of. Commenceme t must be. recorded and posted on .the jobsite
before the: first in . ction. if you.i �nd� to obtain financing, consult with l 3er or an attor • y before
commencing w or rer:ording of Notice of Cornmencem .nt_ �// f
Signature Owner/ Less JCo tractor as Agent for Owner
Sign
lure of Contractor/L' nse older
STATE OF FLORIDA
sTA
rE OF FLORIDA,
COUNTY OF saint Lude
CO t I
NTY OF Satdt(_. je
The for ing instFvmentwas acknowledged before me
"bay ' '_,,2Q
The
this
oing rostra ent was ac�nowledged.,before me
of l r 2-0-6 by
this of. :. _ . r i by
ay
Michael J Newman
mirha
1 J Newman "
Name of person making. statement
Name of person making. statement
Personally Known V' OR Produced identification
Persc
nally Known, __ ft Produced Identification
Type of Identificati
Type
of Identificatio
Produced _
Prodi
iced
1
(Signatur .of Nota P. is-a�X
Sign7eNO'tary
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIE
N
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17