HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAPPLICABLE INFO MUST BE COMPLETED FOR �APPLICATION TO BE ACCEPTED
te: BY Permit Number: N
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SR. Lucie C ounfV
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Building Permit Application AUG o
nning and Development Services Permitting De
St. Lucie spar meat
/ding and Code Regulation Division t.
10 Virginia Avenue, Fort Pierce FL 34982
one: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
P
RMIT APPLICATION FOR: Aluminum without concrete
PROPOSED'IMPRb
' MENT LOCATIQN - . '
ress: Timberlake Dr Fort Pierce, FL 34947
1-f't0 iI Description: TIMBERLAKE ESTATES LOT 33
Pr 1perty Tax ID #: 2302-601-0037-000-6 Lot No. 33
Sit Plan Name: Dee Roberts Const./Sullivan Block No.
Pr ject Name: Dee Roberts Const./Sullivan
Sebacks Front Back: 2.0 Right Side: 56 Left Side:
561
v
D TAILED DESCRIPTION OF WORK17
Install an aluminum/screen pool enclosure 23' x 35' on existing slab.
CdFNSTRUCTION
INFORMATION:
itiona workto
e n e orme under this permit —check
a
apply:
Q
HVAC
L _J
Gas Tank
❑Gas Piping
_
Shutters Windows/Doors
LLJ Electric
0
Plumbing
Sprinklers
E
Generator
F]
Roof
Roof pitch
I Sq. Ft of Construction:
of Construction: $ 7,530.00
S Ft. of First Floor: _
UtilitiesInSewer 0 Septic
Building Height:
', 0:; � N ER/LES'SEE: James and -Bertha Sullivan.
CONTRACTOR: Pioneer Screen Co..lnc. ll
Na I
Address:1750
City:
Zip
Ph
E-
Fill
frot
a James and Bertha Sullivan
Timberlake Dr
Name: Michael J Newman
Company: Pioneer Screen Co. Inc. II
Fort Pierce - State: FL
Code: 34947 Fax:
a No. 205-5410
Address: 1682 SW Biltmore St
City: Port St Lucie State: FL
Zip Code: 34984 Fax: 340-4626
Phone No. 340-4393
ail:
fee simple Title Holder on next page (if different
n 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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?PLEMENTA�
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CO STR-UDC ION;LIEN�LAUI/ IN{�■CiOR1�/IAfIQN� � i• � 4 ', * ; • $_ r � 3.:
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D
SIGNER/ENGINEER: — Not Applicable
MORTGAGE COMPANY: _ Not Applicable
N
me: Do IGm & Associates
Name:
dress: PO Box 10039
A
Address:
y: Tampa State: FL
CI
City: State:
Zip;
33679 Phone 813.857.9955
Zip: Phone:
F
E SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: - ✓ Not Applicable
N
me:
Name:
dress:
A
Address:
C
City:
Phone:
Zip: Phone:
Zi
O ' NER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I c ify that no work or installation has commenced•prior to the issuance of a permit.
St. ucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
whi' h is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict'or prohibit such
strt fture. 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 a ccorciance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
Thel ollowing building permit applications are exempt from undergoing a full concurrency review: room additions,..
acc story structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
W1 RNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
iml irovements,your,property.hNotice of Commencement must be r orded and posted on the jobsite
be re the fi inspection. If y intend to obtain financing, consult lender or anr
rney before
co enci ork o� recordi our Notice of Commencement.
Si
nat re of Owner/ essee/C ntractor as Agent for Owner
Signatu a of Contract?"/1-ice se Holder
S
ATE OF FLORIDA
STATE OF FLORIDA
C
U NTY OF saint Lucie
COUNTY OF SaintLuae
Tf
t
e forgoing instrument as acknowledged before me
s �0 day of J u c i_ 20 8 by
The forgoing instrument as acknowledged before me
this � day of � , 20 1 Ir by
,
�(
ael J Newmna
Michael J Newman
Name of person making statement
I'rsonally
Name of person making statement
P
Known x OR Produced Identification
Personally Known x OR Produced Identification
T
pe of Identification
Type of Identification
k P
o duced
Produced
`to
(Signature of Notary Public- St f I r"d
(S
ign ture of Notary Public- State of Florida)
Cc
Immission No.r;.b0PN�(SW Public State of Flori'
Y ,t�la a Public State of Florid
CO mission No. Brs9¢2�w � ne Newman
My Commission
y Commission
sion GG 22143
III
- y3 ey My Commission GG 221434
Expires 05/23/2022
22
i Or Expires 05/23/2022
or nd
EVIEWS
FRONT
ZONING
SUPERVISOR
PLA
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
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REVIEW
REVIEW
REVIEW,
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CEIVED
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MPLETED
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8/.2/17