HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /
Date: Permit Number: 120S..001(0
SCANNED
Jam.,. BY
St Lucie County
Building Permit Application MPy ol.tio�e
Planning and Development Services I DeparttnE
Building and Code Regulation Division �perRi�tt��C,e CouptY
2300 Virginia Avenue, Fort Pierce FL 1 4982 St.
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FORT: Aluminum without concrete
PROPOSED iMP.ROVEMENT:LO:CATI0N
Address: 372 Cyclone Dr Fort Pierce, FL 34945
Legal Description: 08 35 39 S 150 Ft of N 360 Ft N of W 1/2 N of NE 1/4 of NE 1/4
Property Tax ID #: 2308-131-0000-300-7 Lot No.
Site Plan Name: Wilson Block No.
i
Project Name:
Setbacks Front I Back: 55 Right Side: �� •4 I Left Side: sq
DETAILED DESCRIPTION aF,WORK
Install an aluminum/screen pool enclosure 40' x 24' on slab by pool company.
C6'�STRUCTION INFORMATION
.
AdditionalworK to be nertcrme under
tispermit—c ec all
apply:
11HVAC
Gas Tank
❑Gas Piping
_
Shutters
Q Windows/Doors
Electric 0 Plumbing
OSprinklers
FIGenerator
1-1 Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 14,270.00
Utilities:In
Sewer
I]
Septic
Building Height:
OWNER/LESSEE:,
CONTRACTOR:
Name John & Sharon Wilson
Address: 372 Cyclone Dr
Name: Michael J Newman
Company: Pioneer Screen Co. Inc. II
City: Fort Pierce State: FL
Zip Code: 34945 Fax:
Phone No.475.8881
Address: 1682 SW Biltmore St
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 340.4393
Phone No. 340.4626
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.
Name:
Addre:
City: _
Zip: _
I
4L CONSTRUCTION -LIEN fAVI
NEER: ! Not Applicable
J VY\ d }� SSOG
_ Phone: 13-15'S"7- i 55
FEE SIMPLE TITLE HOLDER: -✓ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: i/ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
" Not Applicable
I certify that no work or installation has I 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 application's 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 pro erty. A Notice of Commencement must be recorded and posted on the jobsite
before the t inspectio If you intend to obtain financing, consul ith lender" attorney before
co en ' work or re . rding your Notice of Commencement -
or /
of Ownbr/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA I
COUNTY OF Gl- • Luci e
i
The forgoing instru ent wa acknowledged efore me
this ��day of bY'� 20 1 by
(Name of person acknowledging)
(Signature of No ry Public- State of Florida )
Personally Known`" OR Produced Identification
Type of Identification Produced
Commission No. GC-t >,,2,3`11) %
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF q+-
The forgoing instrument was acknowledg efore me
this o��j day of __- PP i j . 20 _ by
vYl 1Graei v �rnari
(Name of person acknowledging)
S Cc
(Signature of Notary Public- State of Florida )
Personally Known C-"' OR Produced Identification
Type of Identification Produced
Commission No.
PEVERLY S WALLAOE
COMMISSION # GG023777
EXPIRES November 03, 2020
Y�l / (Seal)
EEVEIiLY S u
EXPIRES Q0JUN # GG023777
November rin m.
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
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INITIALS
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