HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE � INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �q
Date
CANNED Permit Number:
BY
�5r
DNS C--090 RECEIVED
•
AUG 14 ,2010
Building Permit Application
Planning and Development Services Permitting Department
St. Lucie County
Build jig and Code Regulation Division
2300 irginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PER
IT APPLICATION FOR: Aluminum without concrete
PRO
f
QSED tMPROVEM,E.NTFLOCAT10tV
a ter. "y-,r ;. s ^M ,.w,fi r+ r,. 4 4.. '�r,�f1n "jJ r et'<1,.1!
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Addri
Legal
8262 Riviera Way Port Saint Lucie, FL 34986
ption: POD 18 at the Reserve - PUD II - Lot 16
I
Property Tax ID #: 3327-711-G93-000-3
Site PI n Name: Pascoe
Projec Name:
Setba, ks Front Back: I5 Right Side: w r ' Left Sider t I
Install;lan aluminum/screen pool enclosure 40' x 32' on existing pool/slab.
i
Lot No. 16
Block No.
Addit�
❑
nal work to be
nertormed
under tnis permit— cneck all that apply:
IL JI
Gas Piping Shutters
i
❑Windows/Doors
VAC
Gas.Tank
❑
lectric F]Plumbing
- []Sprinklers ❑ Generator
❑ Roof Roof pitch
Total
q. Ft of Construction:
10, 870.00
S Ft. of First Floor:
E]
Cost o�
Construction: $
Utilities: _
Sewer
Septic
Building Height:
OW
ER/LESSEE s' ,; �:.�.n �,
- r.
CONl"RACTOR4,`, #i
Name
imothy Pascoe
Name: Michael J Newman
s: 8262 Riviera Way
Company: Pioneer Screen Co. Inc. II
Addre�
City:
i ort Saint Lucie State: FL
Address: 1682 SW Biltmore St
Zip C
de: 34986 Fax:
City: Port Saint Lucie State: FL
I
Phon
No. 269.203.5349
Zip Code: 34984 Fax: 340.4626,
I:
E-Ma
Phone No. 340.4393
lee simple Title Holder on next page ( if different
E-Mail: pioneerscreen@msn.com j
Fill in
from
he Owner listed above)
State or County License: RX11066919
If valuO of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUP tlrLEMENTAL
CONSTRUCTION LIEN LAW INFORMATION.
DESI
NER/ENGINEER: — Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Nam
:Do Kim & Associates
Name:
ss:Po8ox10039
Address:
Addr
City: C
City: State:
ampa State: FL
Zip: a
679 Phone 813.857.9955
Zip: Phone:
FEE S I
Nam
MPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Addr"
ss:
Address:
City:
City:
Phone:
Zip: Phone:
Zip.
d
OWN / 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. 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
structul' . Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consi eration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in acco lance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The foll wing 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
WARD NG TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
impro ements tp your property. A Notice of Commencement must be regprded and posted on the jobsite
before� the fir i spection. If you oi�end to obtain financing, consult wi ender or an a ney before
comm_ cin k or recordingypbr Notice of Commencement.
,sign -at
A of Owner/ L see/Ctactor as Agent for Owner
Signatur of Contractor icense older
STAT
OF FLORIDA
STATE OF FLORIDA
COUI
ITY OF saimLucie
COUNTY OF Saint Lgcle
The fo
going instrum nt was acknowledged before me
The forgoing instrument was acknowledged before me
this
day of �l, . 20 S by
this day of C 20 by
Michael
Newmna
Michael J Newman
Name of person making statement
Name of person making statement
Perso
ially Known x OR Produced Identification
Personally Known x OR Produced Identification
Type
f Identification
Type of Identification
Produ
ed
Produced
(Signs
ure of Notary Public- to a lbEVERLY $ W L
" M COMMISSION
ture of Notary Public- Stat g: v a )EVER
CE _ntv S Waq
' •. A. LY
Com
ssion No. GGoz3777 - a G
�PIRES
0 GG023777
i ission No. = • 5eaIOMMISSION # G
.t4•�••`.
November 0
EX IRES November
mber0
REV I
EWS
FRONT
ZONING
SUPERVISOR
P S
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
RE
REVIEW
REVIEW
REVIEW
DATE
RECENED
DATE
I
COM .
LETED
Rev.0/17
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