HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO' MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: \� ����� Permit Number:CC/
• _ �4 Lucie County
Building Permit Application RECEIVED
Planning and Development Services JAN 2 ZO,$
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial R Permitting
PERMIT APPLICATION FOR: Aluminum without concrete
PRQPOSED IIVIPROVEI NT LOCATfON.
Address: 137 Queens Rd Fort Pierce, FL 34949
Legal Description: Queens Cove - Unit 1 - Blk 18 - Lot F
Property Tax ID #: 1414-701-0174-000-6F
Site Plan Name: Kalv
Project Name:
/ Setbacks Front Back: �5 Right Side: 1nI Left Side:
Lot No. F
Block No. 18
DETAILEDDESCRIPTION OF WORK ;.,
Install an aluminum/screen pool enclosure 31' x 22' on existing pool/slab.
CO NSTRUCTION, VhIV FORMATION
Additional work to ba ertormed under this permit — check all app y:
11HVAC Gas Tank []Gas Piping _ Shutters ❑ Windows/Doors
❑ Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 12,268.00 Utilities:n Sewer F]Septic Building Height:
OWNER/LESSEE:.'
CONTRACTOR: .
Name Julia Kalv
Name: Michael J Newman
Address:137 Queens Rd
Company: Pioneer Screen Co. Inc. II
Address: 1682 SW Biltmore St
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 340.4626
Phone No. 340.4393
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No. 352.250.7604
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: pioneerscreen@msn.com
State or County License: RX11066919
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
51LIPP.LEMENTAL CONSTRUCTION LIEN LAIN INFG
DESIGNER/ENGINEER. _ Not Applicable
Name: DOk i ryl "- f� SSdC�
Address: PO b Pad 3�
City: ( "00— State: FL,
Zip: 331o"Iq Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
of Applicable
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
improveme to your property. A Notice of Commencement must b;Fhc1orndiee'r
dand posted on the jobsite
before the
i st inspection. you intend to obtain financing, consult or attorney before
co men I work o rec in our Notice of Commencement.
c� C�17
of Own ey/Less*/Contractor as Agent for Owner
STATE OF FLORIDA ' STA* OF FLORIDA
COUNTY OF S4- L-Lg,c i e- COUNTY OF 51- • Ut.,C i
The forgoing instrr ent was acknowledged�efore me The forgoing instrument was acknowledged before me
this day of c� q F'► �.tG r Y 20 by this 3 day of —,Ean4at' Y 20 11 by
14 hr,e(ec.�mcZr
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Knowk OR ProdL
Type of Identification Produced
EXPIRES
Commission No. if ()a 3 "($eal)
Revised 07/15/2014
(Name of person acknowledging)
(Signature of Noti i-y Public- State of Florida )
LFteMq al y Known ✓ OR Pro e4};}decit' tion
entification Produced '`""•�
gg
�Comm�s ion No. b f1 `�7 '' eMY PIRES ISSION # i November
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
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