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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE I FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED u ' `! Permit N Date: -Y RIO�M ©"' Building Permit ApplicaLR MAR 8 2019 Planning and Development Services Building and Code Regulation Division itting Department 2300 Virginia Avenue, Fort Pierce FL 34982 rf! u n fi F[, Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial P it PERMIT APPLICATION FOR: Aluminum Without concrete PROPOSED IIVIPROVEMENTLOCAI"IQN Address: 12063 S Indian River Dr Jensen Beach, FL 34957 Legal Description: FEE'S S/D LOT 6 Property Tax ID #. 4504-602-0006-000-9 Lot No. 6 Site Plan Name: Malanczyn. Block No. Project Name: Malanczyn Setbacks Front NIA Back: 5$6 Right Side: 3y Left Side: DETAILED DESCRIPTION OF WORK: Install 2 separate 16' x 10', poly roofs and a 23' x 55' pool aluminum/screen enclosure on existing slab. : .. F 3 CONSTRUCTLO.N INFORMATION Additional,work to be nertormea under this permit — check all apply: E]HVAC E]Gas Tank 0Gas Piping _ Shutters Q Windows/.Doors Electric 0 Plumbing Sprinklers E] Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ 20,150.00 Utilities: Sewer Septic Building Height: .OWNWLESSEE: CONTRACTOR: Name John E Malanczyn Name: Michael J Newman Company: Pioneer Screen Co. Inc. II Address: 1682 SW Biltmore St Address:12063 S Indian River Dr City: Jensen Beach State: FL Zip Code: 34957 Fax: City: Port St Lucie State: FL Phone No. 263=9129 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 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. OWNER/ CONTRACTOR AFFIDVIT: 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 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 bylaws which is in conflict with any applicable Home Owners Association rules, 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 our property. A ice of Commencement must be rec ded and posted on the jobsite ' before the first ' pection. If you ' nd to obtain financing, consult wit nder or an attor before commencin k or reco din r Notice of Commencem Rev. 8/2/17 �Sl1PP'LEMENI'AL CONSTRUCTION LIEN fLA1N�INFORMA�'ION� � DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable . Name: Do Kim&Assoaates Name: Address: Po Box too3s Address: City: State: City: Tampa State: F� Zip, 33679 Phone 813-857-9955 Zip: Phone: FEE SIMPLE TITLE HOLDER: ✓Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: - Address: City: City: Zip: Phone: Zip: Phone: Sig atur of Owner/ Les ee ontractor as Agent for Owner Signature Contractor/Li nse Hol er STATE OF FLORIDA STATE OF FLORIDA COUNTY OFsai-tL,«e . COUNTY OFsantLuae The f ping instrk�r��ent was acknowledge before me 20� by The forgoing instr nt was acknowledged before me this day of ��. ' 20� by thistlay of i'Vyl%i.uVL.�2/ , Michael J Newman Michael J Newman Name of person making statement Name of person making statement Personally Known V OR Produced Identification Personally Known ✓ OR Produced Identification Type of [dent' � n Type of Identification Pr duced Produced (Sig ature of Notary Public-Ti ] 'gnature f Notary Public- Nota�y Public State of Florida 71k Commission NO. GG221434 (�i�dene Newman +� � Notarryy Public State of Florid C mission No. Gc221434 ��line Newman "1 - �o� My Commission GG 221434 '�+� �,d• Expires 05/2312022 � ,�` Y Commission GG 221434 a �.tl• Expires OS/23/2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED ]Z I DATE COMPLETED