HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL AP ,i LICAE
Date: &&rl8
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INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
BY
S. Lucie County
Building Permit Application
Planning and Development Services
Buildini�g and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone : (772) 462-1553 Fax: (772) 462-1578 Commercial
9 07, ®,?9-,-)-
JUL 13 2018
Permitting Department
icrbhtil�LALe,_Caunty, FL
PER I IT APPLICATION FOR: Aluminum without concrete
=PROPQSED-IMPROVEMENT LOCATION.
Addre s. 3436 Edwards Rd Fort Pierce, FL 34981
Legal Description:
9 35 40 E 1/2 of NE 1/4 of NW 1/4 LYG N of NEW EDWARDS RD R/W AND LYG SW AND W OF FIVE MILE CREEK -LESS RETENTION AREA
contd7;see PA record
II y 2429-211-0002-000-5
Prope �t Tax ID #: Lot No.
Site Pan Name: Nicholson Block No.
Proje It Name: Nicholson
lli '}' l
Setbacks Front_ �� Back: Right Side: Y Left Side: �g
. a
DETAILED DESCRIPTION OF WORK g
Install an aluminum/screen pool enclosure 34' x 27' with 6' x 36' poly roof on slab by pool company.
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CONSTRUCTION INFORMATION 4
dAddIxional work toe nertormed under this permit — check a y. app
_JHVAC E Gas Tank Gas Piping _ Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers 1:1 Generator E] Roof Roof pitch
Totall; Sq. Ft of Construction: SIn
of First Floor:
Cos III 15,252.00 Construction: $ Utilities_Sewer Septic Building Height:
III
OWNER/LESSEE:
CONTRACTOR:
Na 'e Frank and Rea Nicholson
Name: Michael J Newman
Company: Pioneer Screen Co. Inc. II
[' 3436 Edwards Rd
Address:
CityI� Fort Pierce State- FIL
Zip ,Code: 34981 Fax:
Phone No. 528-1077
Address: 1682 SW Biltmore St
City: Port St Lucie State: FL
Zip Code: 34984 Fax: 772-340-4626
Phone No. 772-340-4393
E- I ail:
Fill, in fee simple Title Holder on next page ( if different
fro ° the Owner listed above)
E-Mail: Pioneerscreen@msn.com
State or County License: RX11066919
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: — Not Applicable
MORTGAGE COMPANY:� Not Applicable
Namr<, Do Kim &Associates
_
Name:
Address:
Address: Po Box 10039
City: (Tampa State: FL
City: State:
Zip: 33679 Phone 813.857.9955
II
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Nam1:
Name:
Adder ss:
Address:
City:
U
City:
Zip: 'I Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certi that no work or installation has commenced prior to the issuance of a permit.
St. Luc!'" County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which it in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
struct4e. 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 accoi
dance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The foowingbuilding permit applications are exempt from undergoing a full concurrency review: room additions,
accessry 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
imprdyements to your propert A Notice of Commencement must)be recorded and posted on the jobsite
befor6 the fjit inspection. If o intend to obtain financing, consult w,ih lender or antorney before
co- ,'encir work or recor your Notice of Commencement. r� /
III
Sign
ture of Owner Lesse Contractor as Agent for Owner
l
Signa re of Contract r/Lid rise Holder
STAII''
E OF FL ID
STATE OF FLORIDA
COUINTY
OF Saint
COUNTY OF saint Lud
The
this
i
ff�lorgoing instrument was acknowledged before me
1. day J t-� C 20 (g by
The -forgoing instrument was acknowledged before me
this 9- day of LT c, 1 20� by
of
Mich
el 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 Identificat'
Type of Identific I
P.rodj'uced
ll'
Produced
(Sign
ature of Notary Public- St
a ure of Notary Public- State of Florida )
Co
Notary Public State of Flor
emission No. S �ncene Newman
E�oy'_'
Commission GG z214
a
a
Co ission No. eee2 ►+�Public State of Flofid,l
Newman.`aI
`.3if Expires 06/23/2022
rranene
l�3 .. mmission GG 221434
s 05123/2022
RE�UIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
II
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RE6EIVED
V
DATE
CO, IPLETED
Use
Z
Rev. 8/2/17 V