HomeMy WebLinkAboutBUILDING PERMIT APPLICATION�- \
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: i SCANNED Permit Num
BY
. T at. (Linos County
Building Permit
Planning and Development -Services
Building and Code Regulation Division
2300 Virginia Avenue, For* Pierce FL'34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
r
JUL 9 2018
Permitting Department
St. Lucie County, FL
PERMIT APPLICATION FOR: Aluminum III
Address: 9232 SHORT. CHIP CIRCLE PORT SAINT LUCIE FL 34986
Legal Description: LAKES AT PGA VILLAGE BLOCK D LOT 78
PropertyTax ID #• 3334-501-0216-000-0 Lot No. 78
Site Plan Name: LAKES AT PGA VILLAGE Block No. D
Project Name: I t/
Setbacks Front NA Back: 3-2— Right Side: 6 Left Side: 6
INSTALL SCREEN ENCLOSURE. :�31 qil � q I
E1HVAC Gas Tank
IlElectric Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ IUD . () S
UVA S 1 atib
Piping ❑_Shutters aWindows/Doors
nkiers Generator Roof Roof pitch
S . Ft. of First Floor:
Utilities: Sewer a Septic Building Height:
Name GLORIA HALVATZIS
Address: 160-08 12TH RD,
Cry: WHITESTONE State: NY
Zip Code: _ 11357 Fax:
Phone No. 718 710 0790
E-Mail a �jY� -- 1w o e e u
Fill in fee simpWTitle Holder on next page i if different
from the Owner listed above)
Name: MICHAEL NEWMAN
Company,, _PION FR �CRF N .OMPANY I!
Address: IRR2 SW RI TMOR GT
City: PORT SAINT LUCIE State:FL
Zip Code: 34984 Fax: I -E aZ ^ 3gb—.W (p
Phone No. - 772 Ron 414911
E-Mail:r' e eh LCtM
State or County License: U (P .
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Name• 1'�a l�iryl A-S Pict-�eS r. --- -
Address: 0 ( (, 063
City' State: FL
Zip: ' Phone: ki -
FEE SIMPLE TITLE HOLDER: r/Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: mot Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: ✓Not Applicable
Name:
Address:
City. -
Zip: Phone:
I certify that no work or installation has commenced priorto the issuance of a permit.
St. Lucie Count► makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con ict 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 6 in accordance with the approved plans, the Florida Building Codes and St. Lude 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 Commenceme may result in yo r paying twice fo'r
improvements to your property. A Notice of Commencement must a ecorded and p ed on the jobsite
before the first inspection. If you intend to obtain financing, consu ith lender or a attorney before
commencing work or recording vour Notice of Commencernpnt_
7
LLJ
STATE OF FLORIDA '
COUNTY OF 6 , I,xku Q
The f9ffloIng fnstrqMqnt was acknowledged before me
this JL_day of 20 J&by
((Signature of Notary Public- State of Florida
Personally Known OR P duced Ide tiff 'on
Type of identification Produced
Commission No. FAFIA&Q ER ANDEZ
�y • My COMMISSION #FF172419
STATE OF FLORIDA
COUNTYOF
The fo oing instrument was acknowledged before me
thisa:day of —7Tx rLL , 20 JL by
(Name of
(SignaWre of Notary Public- State of Florida)
Personally Known / OR Produced Identification
Type of Identification Produced
Commission No. &C,aa )3�F (Seal)
Revised 07/15/20 oi) 39g.pt53 FloridallotarySeivice.com d
Vim.
Notory Publlc BIN Of PlOride !
Francene Newman
.
My Commisslon GG.221434
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
MANGROVE
COUNTER
REVIEW
REM
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
1.: