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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 10 G ' 0 50 /
.Building Permit Application
Planning and Development Services,
Building and Code'Reguidtion Division Commercial l Residential . X .
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462r1S53 ,Fax:.(772) 462-1578
PERMIT APPLICATION FOR':AlumiC1=wi:thout COnctete
`PRC?PnQSED[�lIPR01/EMENT LC►CAT10h1' f�
Address 5906 Sunset Blvd Fort Pierce, FL 34.982
Property Tax ID-#: 3402-609=0680-000-2 Lot No 2
Site Plan Name: INDIAN RIVER ESTATES UNIT 08- BLK 71-LOT 2 Block;No: 71.
Protect Name: GLYKAS.
Install a.34' W X:34' aluminum/screen pool enclosure on slab by pool company.
New Electrical Meter Second Electrical Meter
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: Sq. Ft. of First Floor:
Cost of Construction: $ 11,920 00 Utilities: _ Sewer: Septic Building Height:
e
�tUtINER/LESSEE �
��GC}NTRACTCI�R�o
Name Lucas Glykas
Name: Michael J Newman
Company: Pioneer Screen Co. Inc. II
Address: 1682'SW Biltmore.St
Address:5906 Sunset Blvd
City: .Fort Pierce State:
City: Port,& Lucie State: FL
Zip Code: 34982 Fax:
Phone No.924-5520
Zip Code: 34984 Fax: 772-340-4626 -
E-Mail: ..
Phone No 772-340-4393
Fill in fee simple Title Holder on next page (if different
E-Mail pioneerscreen@msn.com
State or County License RX11.066.91.9
from the Owner listedaltiove)
IT vague or construction. is zbi
if value of HAVC.is $7,500 or
more, a RECORDED Notice of Commencement is required:
a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: Not Applicable
MORTGAGE`COMPANY:
— Not Applicable:i
Na me: bo tdm,S Associates
Name:
_
Address:
Address: Po Box iooas.
City, Tampa State: FL
City:
State: I
Zip; 33679 Phone 613-957-9955
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not -Applicable.
BONDING COMPAMY:
Not,Applicable
Name:
Name:
Address:
Address:
City:
City.
Zip: Phone:
Zip: " Phone:
OWNER/ CONTRACTOR AFFIOVIT: 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 theissuance 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 forany restrictions which may apply.
in consWeration of the granting of this requested. permit, I doahereby agree that I will; in, all respects, perform the work
in accordance with the approved plans, fh.e.Florida guilding Codes and St Lucie County Amendments.
The following building permit applications are exempt from undergoing a fulltoncurrency review. room additions,.
accessorystructures,; swimming pools, fences,; walls,.signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Not ce of €omrttencement:may'result in your paying twice for
improvements to your, property A Nptke of Commencement must -be recorded and posted on the jobsite
before the first ins j ction. if you intend to obtain financing, consult with Ie r or an att ey before.
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Signature ofowner/ Lessee/Contraftor as Agent for Owner
Signature of.Contractor/License ; older
STATE OF FLORIDA
STATE OF FLORIDA.
COUNTY OF sainrwcie
COUNTY OFsaint—
The forgoing instrurerlt was acknowledged before me
'�iiay '�
The forgoing instrumen was acknowledged before me
thi `day or d 20 by
this of r f 2.6,.J_J by
Michael J Newman
Michael J Newman
'Name of person, making statement
Name of person m (ng statement
Personally Known V" OR Produced Identification
Personally: Known.. Off Produced. Identification
Type of ldentificatit
Type of identification
Produced
(Signatur of Notary Public tate'af Florida }
e-
(Signature of otary Public- Striteof[ada
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW'
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
_
COMPLETED
Rev..8/2/17