HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ho.
RECOVED
Building Permit Application OCT 1 .1 2017
Planning and Development Services
PERMITTING
Building and Code Regulation Division
St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Aluminum without concrete
PROP.OSE;D'IMPROVfMENT'LOCATION. ` �
Address: S'4 1 % del( v- V 1 '?erA- Sk - LL-r—i c,
Legal Description: Pod 28 @ the Reserve - Lot 15
Property Tax ID #: 3327-701-0018-000-4
Site Plan Name: Townley
Project Name:
Setbacks Front A/c, Back: 4$7y Right Side:
L-�
I' DETAILED DESCRIPTION OF WORK:
Install an aluminum/screen pool enclosure 28'2" x 32'1" on slab by'pool company.
Lot No.15
Block No.
CONSTRUCTION INFORMATION:. -
Additional work to er)eorme under this permit— c ec a apply:
11HVAC LJj Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
IJElectric ❑ Plumbing Sprinklers Generator Roof Roof pitch.
Total Sq. Ft of Construction:
Cost of Construction: $ 8,303.95
S Ft. of First Floor: _
Utilities: Sewer []Septic
OWNER/LESSEE:
Name Toou�/L
Address:
City: &Lr State: FL
Zip Code: 34986 Fax:
Phone No. 878.7752
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Building Height:
Name: f —% t �=�9_t;A I( I) �,_4 1
Company: Pioneer Screen Co. Inc. II
Addr� �5�
City: State: FL
Zip Code: 34984 Fax: 340.4626
Phone No. 340.4393
E-Mail: pioneerscreen@msn.com
State or Courity License: RX11066919
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
1JtSI1IJNtR/tNGINEER: _ Not Applicable MORTGAGE COMPANY: _ / Not Applicable
Name' 1YY1 p SSpG Name:
Addresswe-
�!� f M Address:
City: t � State L City: State: _
Zip: 5N,7'l Phone: 5;;/3-7-rj955- Zip; Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
V Not Applicable
BONDING COMPANY: ✓_Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
St. Lucie Counter 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 prop rty. A Notice of Commencement must be r orded and posted on the jobsite
before the first inspectio . f ou intend to obtain financing, consult I lender or an a rney before
commenc' work or r o ing your Notice of Commencement.
�igna�ure or uwner/Lessee[Contractor as Agent for Owner Signa re of Contract Licen a Holder
STATE OF FLOR DA \ STATE OF FLORIDA
COUNTY OF 1-�C,'e COUNTYOF sJ--IAC,'e.
The forgoing instrument was acknowledged before -me The forgoing instrument was acknowledged before me
this 3 day of 0C+t>bay 20 11 by this 3 dayof_ D Gi-p bzv 20 19 by
m it, ha e I 1 Ne w rnA A ; Ghq e,l e cJ mQ A
(Name of person acknowledging) (Name of person acknowledging)�PcD0C?Ce, Jn. acc
(Signature of Notigry Public- State of Florida) (Signature of tary Public- State of Florida )
Personally Known OR Pr entification Personally Known OR P uced Identification
Type of Identification Produced.... PV Ri v c WA,, y e of Identification Produced ::s«:-,
._My C MMISSION # GG023 ` *_ RL.Y S WALL
Commission No. ES November 03, 2 p mission No.-eraQ�MMISSION # GG
C
EXPIRES November 03,
Revised 07/15/2014
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