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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number;
Building Permit Application
Planning and Development Services Rubric V1':,r,cs
Building and Code Regulation Division St. Lucie county, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:'(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Aluminum with :concrete
PROPOSED IIVIPR'0 ii NT TOCATION
Address: 18502 Tranquility Base Lane Fort Pierce, FL 34987
Legal Description: Aero Acres-Blk 3-Lot 11
Property Tax ID#: 3215-801-0064-000-4 Lot No.11
Site Plan Name: Hammer Block No. 3
Project Name:
Setbacks Front Back: 63 i Right Side: Left Side: 3� I
27
DETAILED DESCRIPTION OF WORK r
Install an aluminum/screen enclosure 37' x 24' and poly roof 37'x 1
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CONSTRUCTION INFORMATION {
Additional work to be erformed under this permit—check all apply:
11HVAC Gas Tank Gas Piping _Shutters Windows/Doors
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Electric Plumbing Sprinklers El Generator F Roof Roof pitch
Total Sq.Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 13,528.00 Utilities —Sewer Septic Building Height:
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OWNER/LE -SE
Name Jeffrey&Lynda Hammer Name: Michael J Newman
Address:18502 Tranquility Base Lane Company: Pioneer Screen Co. Inc. II
City: Fort Pierce State:FL Address: 1682 SW Biltmore St
Zip Code: 34987 Fax: City: Port Saint Lucie State:FL
Phone No.320-267.5476 Zip Code: 34984 Fax: 340.4626
E-Mail: Phone No. 340.4393
Fill in fee simple Title Holder ion 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.
AMOK
Now-
SU KEMENTQL_,CONSTRUCTION LIEN LAW INFORMATION,
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
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 property.A Notice of Commencement must be reco d and posted n the jobsite
before the
f' inspection. ou intend to obtain financing, consult wit a der or an alto ey before
commenc work or rec in our Notice of Commencement.
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( s
ign ure o Own r esse Contractor as Agent for Owner Signa ure of ontractor/Lic se Hol er
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STA E OF FLORIDA STATE OF FLORIDA
COUNTY OF Saint Lucie COUNTY OF Saint Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 9 day of Y'1'1 ct.r ch 20 1L I by this D day of 20 i'� by
Michael J Newm4 Michael J Newman
(Name of person acknowledging) (Name of person acknowledging)
�0_aacRu --"a.Ce--
(Signature of Nota9l Public-State of Florida) (Signature of Nota4 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. cca23777 QVERLY S WALL ission No. GG023777Ji
� oMMlssloN#GO 3777 '= � ERLY S WALLA
;w • EXPIRES Novem '��MY COMMISSION#,G
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Revised 07/15/2014 N°vembeir 03,2p
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