HomeMy WebLinkAboutMcKillips SLC Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
p 11
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:Alumillum With no concrete (in fill Only)
PROPOSED IMPROVEMENT LOCATION:
Address: W44 vne rutt m Fort St Lucie, FL 34986
Property Tax ID #: 3334-501-0134-000-1
Site Plan Name: LAKES AT PGA VILLAGE BLK C LOT 32
Project Name: McKillips
DETAILED DESCRIPTION OF WORK:
Install a 13' x 18' aluminum/screen enclosure under existing roof and on existing slab (in fill only).
New Electrical Meter Second Electrical Meter
Lot No. 32
Block No. C
I CONSTRUCTION INFORMATION: -I
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:
Cost of Construction: $ 2,040.00
Sq. Ft. of First Floor:
Utilities: —Sewer _ Septic Building Height:
OWNERJI_ESSEE:
CONTRACTOR:
Name Michael McKillips
Name: Michael J Newman
Address: 9024 One Putt PI
Company: Pioneer Screen Co. Inc. II
City: Port St Lucie State: '°
Zip Code: 34986 Fax:
Phone No. 240-508-6007
Address: 1682 SW Biltmore St
City: Port St Lucie State: FL
Zip Code: 34984 Fax: 772-340-4626
Phone No 772-340-4393
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail pioneerscreen@msn.com
State or County License RX11066919
��••�••-• —• 111—c, d nK;a,vnvru rvotice oT wommencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
S PP E61/MEI AL C NSTRUCTION LIEN .LAW t C A t? ;
DESIGNER/ENGINEER: F'` Not Applicable
i MORTGAGE COMPANY: "t Not Applicable
Name: Name: I
Address: Address:
City:, State: Ft. I City: State: I
Zip: Phone_ Zip:
Phone:
{
FEE SIMPLE TITLE HOLDER: � Y
_ Not Applicable.
BONDING COMPANY:
Name:
__IL°NotApplieable
Name:
Address:
Address: !
City:
City:
Zip: Phone:
Zip: Phone:
i
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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. No ice of Commencement must be recorded and posted on the jobsite
i
before the first in fiction. If you erld to obtain financing, consult with lender or an attorn . y before
commencing WQrkor re din Notice
c u of Commencement.
Signature f Owner/ Less e/Con ractor as Agent for Owner Signature of C ntractor/License older
STATE ®F FLORIDA STATE OF FLORIDA
COUNTY OF saint Lucie COUNTY OF Saint Lucie
The forgoing instrument was acknowledged before me The for&oing instrument was acknowledged before me
this 'day of Jdaida 2a= �'by this day of _ 20_� by
Michael J Newman Michael J Newman
Name of person making statement Name of person making statement
Personally
Known V'`r OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification'
Produced :' i Produced %
(Signature ofNotary Public- State of Florida) (Signatur of Notary Publlc;,State of Florida )
Commission,NO. GG221434 "n .t, a o mission No. GG221434
�;4"',"rq, N
r: Notary Pub4ic State of Florid �blic State of Florida
a Francene Newman #_ Francene Newman
y
`qv, r Pvi Commission GG 221434
- g W Commission GG 22143 s
v - 01 vtir{" Expires 05/23/2022
REVIEWS
FRONT
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PL4NS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
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REVIEW
REVIEW
DATE
RECEIVED
DATE
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COMPLETED
Rev. 8/2/17