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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPT
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Date: Permit Number: 17f f -o 1 j
- RECEIVED
Building Permit Application MAY 19 2017
Planning and Development Services
Building and Code Regulation Division PERMITTING
St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
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PERMIT APPLICATION FOR: Aluminum without concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 5220 Dunn Rd Fort Pierce, FL 34981
Legal Description: Dunn Road Estates- Lot 5
Property Tax ID#: 3403-702-0006-000-3 Lot No.5
Site Plan Name: Silva Block No.
Project Name:
Setbacks Front Back: 253-t Right Side: 'l2- Left Side: 93 rl
DETAILED DESCRIPTION OF WORK:
Install an aluminum/screen pool enclosure 58'1" x 30'6" on slab by pool company.
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CONSTRUCTION INFORMATION:
Additional work to b
ff
orme un er t is permit—c ec a app y:
HVAC Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers ❑Generator F Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction: $ 13,440.00 Utilities:]Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name A Pink Jelly Bean Inc.-Alberto Silva President Name: Michael J Newman
Address:5220 Dunn Rd Company: Pioneer Screen Co. Inc. II
City: Fort Pierce State:FL Address: 1682 SW Biltmore St
Zip Code: 34981 Fax: City: Port Saint 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.
SUPPLEMENTAL 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. Notice of Commencement must be/Mcorded and po ed on the jobsite
before the first inspection. If y intend to obtain financing, consult th lender or a orney before
commencinWWork or recordig your Notice of Commencement.
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Signat a of Owner/ see/C ntractor as Agent for Owner Signatur of Contra or/Lice se Holder
STATE 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 I ki day of m 0.1 20kl.by this X LP day of 'rn A i 20 %rl by
Michael J NewmaA Michael J Newman
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Not 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 ,:F� (SVERLY S ission No. GG02 , „
WAL CE ;;�• BEVERLY 3 WALLACE
c MY COMMISSION#G i MY CO
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Revised 07/15/2014 EXPIRES November 03,2020 EXPIRES November 03,2020""�•
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
JOSEPH E. SMITH, CLE F THE CIRCUIT COURT — SAINT LUCIE TY
FILE # 4310139 OR BOW998 PAGE 64, Recorded 05/18/201 IV
:25:35 PM
NOTICE OF COMMENCEMENT
To be completed when construction exceeds$2,500.00
or when Heating orAlrConditioning Repair or Replacement exceeds$7,500.00
PERMIT NO.
TAX FOLIO NO. 3403-702-0006-000-3
STATE OF FLORIDA ST LUCIE
COUNTY OF
The undersigned hereby gives notice that improvement will be made to certain real property,and in
accordance with Chapter 713 Florida Statutes,the following Information Is provided in the Notice of
Commencement:
Legal Description:(Include street address If available):
DUPar ROAD ESTATES LOT 5
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General Description of Improvements:SCREEN POOL ENCLOSURE
Owner Information or Lessee Information,If the Lessee Contracted for the Improvement:
Name: A PINK JELLY BEACH INCJALBERTO SILVA PrAddress: 3092 SW BAYSHORE BLVD, PORT ST LUCIE,
Interest in Site of improvement:Fee Simple
Fee Simple Title Holder(If other than owner)
Contractor:PIONEER SCREEN CO. INC.11 1682 SW BILTMORE ST. PORT ST. LUCIE, FL 34984
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Surety:(If applicable,a copy of the payment bond Is attached):
Name and Address:_____
Phone Number Amount of Bond:
Lender:------� —_ _�_�— - ----- --------
Address: Phone Number
Persons within the State of Florida designated by the owner upon whom notices or other documents may be
served as provided by Florida Statutes Section 713.13(1)(a)(7):
Name---
Address— _--Phone Number
In addition to himself,Owner designates of to receive a copy
of the Lienor's Notice as provided In Section 713.13(1)(b),Florida Statues:
Phone number of person or entity designated by Owner_—_-- ^.—
Expiration date of notice of commencement(the expiration date may not be before the completion of construction and final payment
to the contractor,but will bet year from the date of recording unless a different date Is specified.
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,FLORIDA STATUES AND CAN RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THEJOB
SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING;CONSULT WITH YOUR LENDFR OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under peri4ty of perjury,I declare that I have read the foregoing and that the facts In It are true to the best of my knowledge and belief,
(sectlon9. 2 to l
Sti'A FOWTIFA OA IPSSfE.OAt777HBCS OR ORQED OFFI EGTORIMAWICER/PAMM
/wc P, .
Mtl ME AND PROVIDEIfrberl6 cS/��i�
State of Florida,County ofI 1
Ac owledged before me th�s�`� day of _,2017 by r71 f/eY �J&
as __, for _______—who Is personally known to me or has
prov ed —_ ----—_—as
// ,t y;•;FARA D HERNANDEZ
•o`, y, MY COMMISSION?FF172419
EXPIRES October 28,2018
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4ot,aryPublic Stamped,printed,or Typed Name of Notary