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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