HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONJ 1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �1' 9C3ANNF_-Permit Number: �ONBY
nn Iq
at Lurie COUTt, RECEIVED
Building Permit Application FEB 01 2018
Planning and Development Services ST. Lucie Comity, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Aluminum without concrete C`�
°PROPOSED IMPROVEMENT LOCATION - _
Address: 5463 Tree Top Trail Fort Pierce, FL 34951
Legal Description: 7 34 40 S 1/2 of NE 1/4 of SW 1/4 of NE 1/4 of SW 1/4-less E 30 Ft
Property Tax ID #: 1407-313-0010-000-6
Site Plan Name: Hall
Project Name:
Setbacks Front Back:
'60 ' Right Side: 57 , Left Side:
DETAILED DESCRIPTION'OFINORK -
Install an aluminum/screen pool enclosure 40' x 42' on existing pool/slab.
Lot No.
Block No.
CONSTRUCTION INFORMATION -
Additional work to be nej r orme under this permit —
check a = apply:
❑HVAC LJ Gas Tank []Gas Piping s ❑ _ ShutterWindows/Doors
❑ Electric ElPlumbing ❑Sprinklers ❑ Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: S�Ft.I of First Floor:
Cost of Construction: $ 12,528.00 Utilities: Sewer ❑ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR: o,
Name Andrew Hall
Name: Michael J Newman
"Address: 5463 Tree Top Trail
Company: Pioneer Screen Co. Inc. II
City- Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 954.830.4455
Address: 1682 SW Biltmore St
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 340.4626
Phone No. 340.4393
E-Mail: pioneerscreen@msn.com
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: RX11066919
If value of construction is $2500 or more, a RECORDED Notice of Com�m cemen is required.
I
SUPPLEMENTAL CONSTRUCTION LIEN, LAW INFORMATION X
DESIGNER/ENGINEER: _ Not Applicable
Name: DoKfrA 0-p°r1>5dG
Address: X b0y
city: 112Cm QA- �
Zip: Zip 3��7R Phone: 813- �f'�l-495'S-
MORTGAGE COMPANY: Not Applicable
Name:
Address:
city-
Zip Phone: State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
BONDING COMPANY: _Not Applicable
Name:
Address:
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
improvement to your property. A Notice of Commencement must be r orded and posted on the jobsite
before the f' t inspection. If y,60tend to obtain financing, consult I lender or aj ttorney before
commenc' work or recordi our Notice of Commencement.
as Agent for
STATE OF FLORIDA
COUNTY OF S�' L�C� e
STATE OF FLORIDA
COUNTY OF
The forgoing instr�nt was acknowledged before me The forgoing instrument was acknowledged before me
this day of Jotr c,t a ry 20 1J-by this Imo' _ day of :50 1Cl�ry 20I'l by
lei ec�rrrrn M i ,- hG ?-I � e m a-n
(Name of person acknowledging) (Name of person acknowledging)
Li S�, I Q OIL a-2- I ULCL �
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identific/attion Produced
Commission No c
;�a'�q`•tcg: ERLY S WALI
Personally Known t/ OR Produced Identification
Type of Identification Produced
;! MY COMMISSION # GG01377
EXPIRES November 03, 2020
Revised 07/15/2014
MY
YS
November 03, 2020
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