HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
IPP.P,�PO�Iw
Building Pei�rmit Application
Planning and Development Services
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
PROPOSED :INIPRDVEMENT:_LOCATION.
Address: 7400 Bob O Link Way Port St Lucie, FL 34986,
Legal Description: Maidstone LOT 45
Property Tax ID #: 3322-505-0054-000-1
Site Plan Name: Shaner
Project Name:
Lot No.45
Block No.
Setbacks Front Back:
�, 44
Right Side: •oz'
`
Left Side:
6
r..
DETAILED DESCRIPTION°OF VIIORK
:.
`
Install an aluminum/screen pool enclosure
.40' xx 20' on slab by pool company.
.
�1 v3(�o2
CONSTRUCTION INFORMATION: r
Additional work to be nertormed under tispermit—check all apply:
❑HVAC Gas Tank Q Gas Piping Shutters in _ Windows Doors
Q
Electric Q Plumbing Sprinklers ❑ Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ 8,849.00 Utilities:Cn,Sewer []Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Linda and Richard Shaner
Name: Michael J Newman
Address: 7400 Bob O Link Way
Company: Pioneer Screen Co. Inc II
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone No. 337-9713
Address: 1682 SW Biltmore St
City: Port St Lucie State: FL
Zip Code: 34984 Fax: 340-4626
Phone No. 340-4393
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
iT value oT construction is 5Z5UU or more, a RECORDED Notice oT Commencement is required.
SUPPLEMENTAL
CONSTRUCTION LIEN LAW (NFORM`ATION:
DESIGNER/ENGINEER: — Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
N a m e: Do IGm & Associates
Name:
Address: Po Box 10039
Address:
City:
state:
City: Tampa State: FL
Zip: 33679 Phone813.857.9955
Zip: Phone:.
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY:
✓ Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain
I certify that no work or installation has commenced prior to the issuance of a
permit to do the work and installation as indicated.
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, sighs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failur to Record a (Notice of Commencement may result in your paying twice for
improvements t our property Notice of Commencement must be recorded and posted on the jobsite
before the fir spectio. If intend to obtain financing, consult or ana�torney before
comarencin ork or„rec r our Notice of Commencement. 17
c
Signat a of Owner ess a/Contractor as Agent for Owner
Signat re of Contra r/Lic se Holder
STAT OF FLORIDA
STATE OF FLORIDA
COUNTY OF Saint Lucie
COUNTY OFsxintLucie
The for oing instrument was acknowledged before me
The forgoing instrumewas acknowledged before me
nt
this dayof _1 c"- 20f'by
thisday _hLoL.P_ .20_tf(by
Michael J Newmaa
Michael J Newman
Name of person making statement
Name of person making statement
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identificat' n
Type of Identificati
Produced
Produced
i a re of Notary Public -State f FI Aida )Notary
to id V� "`�Notary Public State of F
04
(Sign ure of Notary Public-Sta aLAIPaAR-) Public State of
Francene Newman
No. �I) My Commission GG*2
dg Expires
;QiF Francene NewmanCommission
16mmmi ion No. �� e�ly Commission GG 22(g(go2a
I 05/23/2022
I ,3 pR �o Expires 05/23/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
-
RECEIVED
(Q
DATE
COMPLETED
Rev. 8/2/17 V
I