HomeMy WebLinkAboutBuilding Permit Application jAlhh
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION 1-O BE ACCEPTED
Date: �-y" ]. "� Permit Number:
Building Permit Application APR 2 9 2017
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`.'IMPROVEM'ENT vLOCA4TION
Address: 3808 Promenade Way Fort Pierce, FL 34982
Legal Description: Estates Of Longwood-Lot 34
Property Tax ID#: 2433-502-0034-000-4 Lot No.34
Site Plan Name: Bourbonniere Block No.
Project Name:
Setbacks Front Back: Li •33 Right Side:' �3'g 3 / Left Side:
DETAILED DESCRIPTION OF WORK
Install an aluminum/screen pool enclosure 266" x 48' on slab by pool company.
CONSTRUCTION fNFORMATION
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itiona workto e e orme un er t is permit-check a app y:
❑HVACE]Gas Tank Gas Piping Shutters Windows Doors'
— — ❑ p g — Q /
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 9,246.00 Utilities:n Sewer E]Septic Building Height:
OWNER/LESSEE; 'CONTRACTOR:',
Name Thomas&Roxanne Bourbonniere Name: Michael J Newman
Address:3808 Promenade Way Company: Pioneer Screen Co. Inc. II
City: Fort Pierce State:FL Address: 1682 SW Biltmore St
Zip Code: 34982' Fax: City: Port Saint Lucie State:FL
Phone No.216.0910 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.
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SUP;PLEMENTAL:CONSTRUCTION LIEN.,LAW INIMRMATION .;. .
. nMORTGAGE COMPANY: _Not Applicable
DESIGNER ENGINEER: x Not Applicable x
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 prop y. A Notice of Commencement must be recorded and poste on the jobsite
before the fir inspection. you intend to obtain financing, consult h lender or an a rney before
com nci ork or rec in our Notice of Commencement.
is
Signa re of Owner/ ess /Contractor as Agent for Owner Signatur of Contractor icen a Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Saint Lucie CO U NTY OF Saint Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 'day of y-I 20 `1 by this day of N p ri i ,20 11 by
Michael J Newm4 Michael J Newman
(Name of person acknowledging) (Name of person acknowledging)
(Signature of NotJy Public-State of Florida) (Signature of Nota Public-State—of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. 00023777 ;': r .(S EIZLY$WAL fission No. cc023777 ,y�,, . �V
e.
MY COMMISSION#GGO 3777. * MY CL7!WALL
November 03,2020 •'�q, EX✓'IRES November 3 20 7
Revised 07/15/2014
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVI W REVIEW REVIEW REVIEW REVIEW
DATE -4
COMPLETE I
INITIALS
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