HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �t
Date: Permit Number: LIT olso
RECEIVED
Building Permit Application APR 0 7 76,17
Planning and Development Services PERMIT-.'-i;
Building and Code Regulation Division St. Lucie —_c u:ty. ;"!_
2300 Virginia Avenue,Fort Pierce FL 34982 —_
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Aluminum with concrete
PRO ROSE D'IM PROVE M:ENTLOCAT[ON,
Address: 7401 Palomar St Fort Pierce, FL 34951
Legal Description: Lakewood Park-Unit 1 -Blk 9-Lot 18
Property Tax ID#: 1301-601-0176-000-6 Lot No.18 I
Site Plan Name: Alfonso Block No. 9
Project Name:
Setbacks Front Back: I1` IZ Right Side: Left Side: 30.q
DETAILED DESCRIPTION OF WORK:.
Form & pour concrete slab 26' x 11' with 8" x 8"footer. Install an aluminum/screen enclosure with poly
roof on slab.
CONSTRUCTION INFORMATION
Additional work to eel orme under this permit—check a I apply:
11HVAC LJ Gas Tank Gas Piping LJ Shutters []Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 8,780.00 Utilities:n Sewer 0 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Benjamen Alfonso Name: Michael J Newman
Address:7401 Palomar St Company: Pioneer Screen Co. Inc. II
City: Fort Pierce State:FL Address: 1682 SW Biltmore St
Zip Code: 34951 Fax- City: Port Saint Lucie State:FL
Phone No.201.803.6044 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.
Aliffilk
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: ..:-
DESIGNER/ENGINEER: _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 recorded and posted on the jobsite
before the firs spection. If y u intend to obtain financing, consult ith lender or an ttorney before
commencin rk or recordog your Notice of Commencement.
02�•�' s
Signatur of Owner/Le ee/ ontractor as Agent for Owner Signatu a of Contrac r/Li rise Holder
STATE F FLORIDA STATE OF FLORIDA
COUNTY OF Saint Lucie COUNTY OF Saint Lucie
i
I
The or ing instrument was acknowledged before me The forioing instrument was acknowledged before me
this day of M CLY'Ch 20 1-1 by this a day of 1'Y1 CLrGh 2011 by
Michael J Newm4 Michael J Newman
(Name of person acknowledging) (Name of person acknowledging)
(Signature of NoMy Public-State of Florida) (Sig ature of No Public-State of Florida)
i
Personally Known x OR Pr d en Personally Known x OR Produ tification 1
..•.
Type of Identification Produced VERLY.S I LTA o Identification Produced ;•,�. ' ,
;a•, COMMISSION#G '•e RAY S IN
Commission No. 00023777 ,G'F�(,,,, ea XPIRES LOIS
sion No. 00023777 = . I yCOM LACE..November �}M MISSION#XPIRESNOV61mber 20207
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIE REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
7
COMPLETE
INITIALS
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