HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED .
Date: ,LAN
Number: tar Permit
Gh st Lucie NO
Building Permit 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
PRO POSEWMPRQVEMENT-LOCATI,ON .
Address: 350 Woodcrest Dr Fort Pierce, FL 34945
Legal Description: ORANGE PARK S/D BLK B LOTS 8 AND 9
Property Tax ID #: 2308-501-0021-000-2
Site Plan Name:
Project Name: Bowden
i 1 �
Setbacks Front Back: 101. 09 Right Side: 13y. 4 Left Side: I25• 6
DETALLED DES'CRIPTION-OF WORK t
Lot No. 8 & 9
Block No. B
Install a 31' x 60' aluminum/screen pool enclosure with a 14' x 31' poly roof on existing concrete.
.CONSTRUCTION INFORMATION:
Add
itiona wor to eel rformed under this permit check all apply:
HVAC LJ Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 17,940.00
S.Ft.I of First Floor: _
Uti l iti es: Sewer 0 Septic
Building Height:
'OWNER/:LESSEE: _
CONTRACTOR::
Name Lloyd G Bowden
Name: Michael J Newman
Address: 350 Woodcrest Dr
Company: Pioneer Screen Co. Inc. II
City: Fort Pierce State: FL
Zip Code: 34945 Fax:
Phone No. 579-1403
Address: 1682 SW Biltmore St
City: Port St Lucie State: FL
Zip Code: 34984 Fax: 340-4626
Phone No. 340-4393
E-Mail: Igbfire@gmail.com
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 RECURUEU roouce or LOmmencemeni is requireu.
SUPPLEiUIENTAL�CONSTRUCTION LIEN IA�IU'INFORMATION�
`�sy �,� �`� sgxxti ys
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: Do Kim & Associates
Name:
Address:
Address: Po Box 10039
City: State:
City: Tampa State: FIL
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 to your propR11your
. A Notice of Commencement must be r orded and post on the jobsite
before the fir spection. Iintend to obtain financing, consult w' lender or an a ney before
co ncin ork or re or Notice of Commen ent.
Gam/(
Signs re of Own r ess Contractor as Agent for Owner
Signat a of Contractor icense older
STATE OF FLORIDA
STAT OF FLORIDA
COUNTY OF Saint was
COUNTY OF SaintLuGe
The for oing instrument was acknowledged before me
day TUJl.Q 20Id by
The forgoing instrument was acknowledged before me
this L day of T_ yLQ 20 a by
this of .
,
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 Identification
Type of Identification
Produced
Produced
(Sign ture of Notary Public- State
re of Notary Public- State
of Florida )
V Notary Public State ofFlorida
Commission No. ;p I) Francene Newman
Commi ion No.�
Mom• Np� �,blic State of Florida
Ex Commission 22 2
Expires 05/23/2022a
1434 1 tf3 �
FfCfi%ei�e Newman
: My Commission GG 221434
Expires
05/23/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.' 8/2/17