HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: Sq q
GY\ C'
Building Permit Application MAR 2 8 291e
Planning and Development Services
Building and Code Regulation Division Sr. Lucie cunt, t
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Aluminum without concrete
P'ROPQSED.IM"PROVEMENT
Address: 759 Altura St Port Saint Lucie, FL 34952
Legal Description: River Park-Unit 3-Blk 6-Lot 16
Property Tax ID#: 3419-515-0059-000-4 Lot No.16
Site Plan Name: Smith Block No. 6
Project Name:
Setbacks Front Back: Z r• Right Side: 30•'Z6 Left Side: 13,'R
- -
DETAI'LED DESCRIPTION OF WORK
Install an aluminum/screen pool enclosure 307' x 23'4" and poly roof 10' x 12' on slab by pool
company.
CONSTRUCTION INFORMATION
V
Acid
itiona I work to e e orme under t ispermit—c ec a apply:
F1HVAC M Gas Tank —]Gas Piping _Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor: /
Cost of Construction:$ 8,455.00 Utilities:'n Sewer E]Septic Building Height:
OWNER/LESSEE:' CONTRACTOR: ,
Name Cynthia Smith Name: Michael J Newman
Address:759 Altura St Company: Pioneer Screen Co. Inc. II
City. Port St. Lucie State:FL Address: 1682 SW Biltrmore St
Zip Code: 34952 Fax: City: Port St. 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.
SlJ.4PP4EMENTAL CQNSTRUCTIO,N LIEN:LAW INFORMATION.
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Do Kim&Associates Name:
Address:Po sox 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 firy inspection. If ou intend to obtain financing, consult with lender or an rney before
commencinowork or reco i g your Notice of Commencement.
5
Signatt}a of Owner/ ssee/ ontractor as Agent for Owner Signature o Contractor Lice t
Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Saint wile COUNTY OF Saint Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this%r day of M CL"-Cr1 , 20 0 by this m day of 1_'r'6L V-Gh 20 1'1 by
Michael J Newm4 Michael J Newman
(Name of person acknowledging) (Name of person acknowledging)
C_
(Signature of No Vary Public-State of Florida) (Signature of Not4Vy Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
BEVERLY FF
GG023777 �A � TY11 sion No. GG023777
Commission No. COMMISSION#G 023777 MY 0® AL ACE
EXPIRES November 3,2020 • MMISSION#G
�._ 23777
m er 0 020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS