HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
te: „i Permit Number: t 10 'O 1
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Building Permit Application
ning and Development Services
ling and Code Regulation Division
) Virginia Avenue, Fort Pierce FL 34982
ne: (772) 462-1553 Fax: (772) 462-1578 Commercial
RECEIVED
JUL 2 7 2018
I ST. Lude county; PArmltting
Residential X
PE MIT APPLICATION FOR: Aluminum without concrete
POSED I(VI`PROVEMENT-WCATfON",,".'k. = u
add4r,ess: 2007 Royal Fern Ct Palm City, FL 34990
Description: HARBOUR RIDGE- PLAT 6- ROYAL FERNVILLAGE UNIT 15
Pro�,lerty Tax ID #: 4425-605-0029-000-3 Lot No.
I'� Steinberg Site elan Name: g Block No.
Proj II ct Name: Steinberg
Setbacks Front% Back:. Right Side: z2 . 3 ( LeftSide:
25.5171
lid
W,
DETAILED DESCRIPTION,OF WORK
Instd'll an aluminum/screen pool enclosure 31' 8" x 45' on slab by pool company.
,,CONSTRUCTION"
ONSTRUCTION INFORMATION
Addiponal work to a er orme under this permit— check a apply:
_�� HVAC E] Gas Tank ❑Gas Piping _ Shutters Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total
Cost
;q. Ft of Construction:
f Construction: $ 12,204.18
S Ft. of First Floor: _
Utilities: 0 Sewer OSeptic
Building Height:
OWNER/LESSEE: Jeffrey and Ruthie Steinberg,
CONTRACTOR: Pioneer Screen Co. Inc. II
Nameill,leffrey
Address:
City: Palm
III
Zip Code:
Phon JINo.
E-Ma
Fill in I(fee
from the
and Ruthie Steinberg
Name: Michael J Newman
2007 NW Royal Fern Ct
City State: FL
34990 Fax:
878-7752
Company: Pioneer Screen Co. Inc. II
Address: 1682 SW Biltmore St
City: Port St Lucie State: FL
Zip Code: 34984 Fax: 340-4626
Phone No. 340-4393
),:
simple Title Holder on next page (if different
Owner listed above)
E-Mail: pioneerscreen@msn.com
State or County License: RX11066919
If valuelof construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL;CONSTRUCTION
UEN LAW IyNFORMATION
D
IESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: of Applicable
Flame:
�
K. A& - 4 A-3 c)c� cLI`-2.S
Name:
Address: Wo 60Y 1003g
Address:
Gity: State:
City: State:
Zip: e� Phone T13- 1--J955'
Zip: Phone:
FEE SIMPLE TITLE HOLDER: of Applicable BONDING COMPANY: of Applicable
_ _
Name: Name:
Address: Address:
City: City:
I�p: 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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
w ich is in con lict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
str' cture. 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
m ccordance 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,
ac iessory 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
irr provements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the fir n 'spection. If you intend to obtain financing, consult with lender or an attorney before
co','mmencin w k or recording our Notice of Commencement.
ignature
of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contr or/License Holder
STATE
COUNTY
OF FL QA
OF
STATE OF FLORID
COUNTY L(. Q-
OF -a
he in u ent As acknowledgepotefore me
I 1AAW
The forgoing instrument was acknowledged before me
MIS
of 20by
this day of 1& 20J�? by
A � 60W_19`t��
( Y Vv 4�LLGt�1
Name of person ng statement
Name of person ma mg statement
III
rsonally Known OR Produced (den i ication
Personally Known _�R Produced Identification
Ty
f Identification
Type of Identification
I�od a
Prod ed
T MCGHIEE
AARY PURL o
rl ignature of NotarPullip :,.k f .OFF
FF241935
(Signat re of Notary Public- State of F i
Commission
No. �• ` Ws 6110/2019
11 + IF Notary Public Ste
Commission No. 'oZcZ� `f?J� Francene New
a
My Commission
A1� Expires 05123120
IIIIIIII
G
2
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
f IECEIVED
DATE
QOMPLETED
Re.
8/2/17