HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
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 TYPE: AI�yy�l
PROPOSED IMPROVEMENT LOCATION:
Address: 63 Aqua RA Drive, Jensen Beaech, FL 34957
Property Tax ID #: 4511-815-0006-000-5
Site Plan Name: RIVER WATCH
Project Name:
Zadok
DETAILED DESCRIPTION OF WORK:
Install a 24'611 x 36'aluminum/screen pool enclosure with 1 1'x 30'poly roof on slab by pool company.
CONSTRUCTION INFORMATION:
Lot No., 2
Block No. 3
Additional work to
be performed under this
permit
—check all that
apply:
_Mechanical
_Gas Tank
� Gas
Piping
- Shutters Windows/Doors
Electric
Total Sq. Ft of Construction:
Plumbing
Cost of Construction: $ 161764-00
Sprinklers
Generator
Sq. fit. of First Floor:
Utilities:
Roof
Sewer _Septic Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Michele Zadok
Name: Michael J Newman
Addresso.163 Aqua RA Drive
Company: Pioneer Screen Co. Inc. II
City: Jensen Beach State',
Address: 1682 SW Biltmore St
Zip Code: 34957 Fax:
City: Port St Lucie State: FL
Phone No. 954-494-7610
Zip Cade: 3¢984 Fax: 772-340-4626
E-Mail. mzelite@aol.com
Phone No 772-340-4393
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 RX1 1066919
If
value
of
construction is
$2-500 or
more, a RECORDED Notice of Commencement is required.
If
value
of
FIVAC'I's $7,500
or more,
a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUC'TION.LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Not Applicable
Name: Do Kim & Associates
Address: PO Box 10039
City- Tampa State* FL
Zij): 3 "13-857-9955
FEE SIMPLE TITLE HOLDER: t/ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
✓ Not Applicable
Name:
Address:
Ci State :
Zip: Phone:
BONDING COMPANY: Not Applicable
-.1Z
Name:
Address:
City:
Zia: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
1 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 cor�flict with any applicable Home Owners Association rues, 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
'rn accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit- applications are. exempt- from urdergo;^g a fill concurre^cy review: ream 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 first inspe ion. If you intend to obtain financing, consult with lender or an attorney before
commencing work recording Vr IUotice of Commencement. �9 �
Signature of,
41
caner/ less 07Contfor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF saint Lude COUNTY OF Saint Lucie
The
for.gping
inst-rurrreni
was acknowledged before sne
this
5�-day
i"
of_� .�,
%Pv
p
. 2�;� by
Michael J Newman
Name of person making statement
Personally Knows � OR Produced Identification
Type of Identifi anon
Pr-6duced }
(Signature of Notary Publ
Commission NC). GG221434
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
FRONT
COUNTER
ma)s _
Notary Public State of Florida
4, N wman
GG 221434
1
Exp
lir05/22'3/2022
ZONING
REVIEW
SUPERVISOR
REVIEW
The forgoinginst., do �' F s i r ge_
tip- day i .,,t is by
Michael J Newman
Name of persq! making statement
Personally Known OR Produeaeq Identification
Type of Identificatio
Pioduced i
PLANS
REVIEW
Notary Publi
N. GG221434
VEGETATION
REVIEW
Notary Public State of Florida
FFarf
M rnm sloe GG 221434
xpir s '2 x
SEA TURTLE
REVIEW
MANGROVE
REVIEW