HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/6/18 Permit Number:
L
te,. J .. _ , SCANNED
9BY
t. Lu e Cougty
BRECEIVED
uilding %rmit Applicat� n
Planning and Development Services J U N 2 0 2018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Per1� I tt n e p rt rn e n t
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial R§ViaI��� FL
PERMIT APPLICATION FOR: Aluminum without concrete
PROPOSED.IMPROU�EMENT LQ;CATI'O'N.
Address: 10632 Pine Cone Ln Fort Pierce, FL 34945
Legal Description: LOT 9 PINE HOLLOW UNIT ONE
Property Tax ID #: �(J IVU ��' fat Lot No. 9
Site Plan Name: Block No.
Project Name: Hester
Setbacks Front Back: Right Side: _ Left Side: w 57
DETAILED DESCRIPTION OF WORK '
v
IInstall a 10' x 30' poly roof and an aluminum/screen pool enclosure 46' 5" x 34' on slab by pool
company.
CO.NSI"RUCTIO.N INfORIVIATlO'N
Additionalwork to e nertormed under tispermit—check a appy:
11HVAC Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
11 Electric E] Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S�Ftj of First Floor:
Cost of Construction: $ 15,323.00 Utilities: I _J Sewer 0 Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR: Pioneer Screen Co. Inc. II
Name Ginger and Brian Hester
Name: Michael J Newman
Address: 10632 Pine Cone Ln
Company: Pioneer Screen Co. Inc. II
Address: 1682 SW Biltmore St
City: Fort Pierce State: FL
Zip Code: 34945 Fax:
City: Port St Lucie State: FL
Phone No. 337-9713
Zip Code: 34984 Fax: 340-4626
E-Mail:
Phone No. 340-4393
Fill in fee simple Title Holder on next page (if different
E-Mail: pioneerscreen@msn.com
State or County License: RX11066919
from the Owner listed above)
If value of construction is 52500 or more, a RECORDED Notice of Commencement is required. 7 t K` ) °
SUPPLEMENTAL
CONSTRUCTl.
LIEN,L X,12, NFORM�ATION z
,
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: e/ Not Applicable
Name: Do Kim & Associates
Name:
Address:
City: State:
Address: Po Box 10039
City: Tampa State: FL
Zip: 33679 Phone 813.857.9955
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 a permit to do the work and installation as indicated.
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
improvements,Frkipor
our property. A Notice of Commencement must be reco ed and posted on the jobsite
before the firsteI tion. If you�i'ntend to obtain financing, consult wit der or an attor ley before
commerrhg W, recordinghour Notice of Commencer. f/
Signature f Owner/ Les a/Con actor as Agent for Owner
Signature f Contractor/L' ense Ider
STATE F FLORIDA
STATE OF FLORIDA
COUNTY OF saint Lucie
COUNTY OF Saint Luda
The forgoing instrument was acknowledged before me
The forgoing instrtment was acknowledged before me
this G day of ) t i..y�_L , 20_Li by
this day of J \Kvx-jZ 20�X by
Michael J Newmna
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 Identif' aision
Type of Identific on
Produced
Produced
(Sig ature of -Notary P
(Sign ture of Notary Public- Stat o I
Notary Public State of Florida
Notary Public State of FI
;� ^ Francene Newman
Commission No. _ Franalialhewman
Commission No. EW)Commission GG 221
C9G 2 ry �� My Commission GG 221434
Expires 05/23/2022
I 3�1 a Expires 05/23/2022
r
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REV!W
REVIEW
REVIEW
REVIEW
DATE
��
RECEIVED
DATE
COMPLETED
Rev. 8/2/17