HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI.
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ALL APPILICABL.E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED u
Date: III Permit Number:
II SC,®N E'D
R1620-12,
Building Permit Application AUPlanni 'g and DevelopmentServicesBuildin,and Code Regulation Division ST. Luciemitting
2300 L/irginia Avenue, Fort Pierce FL 34982
Phon�(772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
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PER
1T APPLICATION FOR: Aluminum without concrete
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SED,IMPROVfMENTLOCATlO'N. . _" p °'
Addres�: 3409 Bent Pine Dr Fort Pierce, FL 34951
Legal Description: MONTE CARLO COUNTRY CLUB UNIT ONE LOTS 23 AND 24
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Proper y Tax ID #: 1327-801-0027-000-1 Lot No. 23 and 24
Site PI n Name: Denmon Block No.
Projec Name:
Denmon
II
Setba ks Front Back: 23 Right Side: JZ5 l" Left Side: i3
DEVILED,-DESCRIPT,ION OF WORK ;:
Installlan aluminum/screen pool enclosure 41' 4" x 35' 6" on slab by pool company.
IfCCQLJ
NORIVIATION QUr ,
it ona workto eer orme under this permit— check a apply:
IvI
Total
Cost
IVAC _ Gas Tank
lectric 0 Plumbing
I. Ft of Construction:
Construction: $ 12,057.40
L_jGas Piping _ Shutters a Windows/Doors
Sprinklers ElGenerator 1:1 Roof Roof pitch
Sq. Ft. of First Floor:
Utilities: Sewer[]Septic Building Height:
W,NER/LESSEE: Sherry and Felix Denmon ,: '
CONTRACTOR: Pioneer Screen Co. Inc. II
Nam
Addr
City:
Zip Cede:
Phon
E-M
Fill i
from
IjShery and Felix Denmon
Name: Michael J Newman
11
'�ss: 3409 Bent Pine Dr
Company: Pioneer Screen Co. Inc. II
II, ort Pierce State: F�
34951 Fax:
" No. 772-878-7752
Address: 1682 SW Biltmore St
City: Port St Lucie State: FL
Zip Code: 34984 Fax: 772-340-4626
Phone No. 772-340-4393
il:
'jfee simple Title Holder on next page ( if different
the Owner listed above)
E-Mail: pioneerscreen@msn.com
State or County License: RX11066619
If valob of construction is $2500 or more, a RECORDED Notice of Commencement is required.
�SUPP. `EMENTAL CONSTRUCTION LIEN LAV1/s
INFORMATION:
��, `� � y .�� _ ;` � ; r�
DESIG
ER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name
I,Do Kim &Associates
Name:
Po Box 10039
Address:
Addre''s:
City: T
Impa State: FL
City: State:
Zip: 33
,79 Phone 813.857.9955
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Zip: Phone:
FEE SIMPLE
PLE TITLE HOLDER: Not Applicable
BONDING COMPANY: NotApplicable
Name
_
Name:
Address:
Address:
I'!
City:
City:
;i Phone:
l
Zip: Phone:
Zip:
OWNE�/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify hat 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 'n conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structur i 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 actor ante with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The foil wing building permit applications are exempt from undergoing a full concurrency review: room additions,
accesso cstructures, 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
impro ements your property. Notice of Commencement must be r orded and posted on the jobsite
before'the fi inspection. If y intend to obtain financing, consult lender or an attprney before
Corr nci work or recordi your Notice of Commencement.
S!gnat
re of Owner Lessee/ ntractor as Agent for Owner
Signattof Contract Livens Holder
STATE
OF FLORIDA
STATE OF FLORIDA
COUNTY
OF saint Lucie
COUNTY OF saintLu-cle
r
The JI
this
oing instr ment was acknowledged before me
day of 20AL by
The for going instr ment was acknowledged before me
this day of 20_8 by
'I
Michaei;J
Newmna
Michael J Newman
Name of person making statement
Name of person making statement
Persolhally
Known x OR Produced Identification
Personally Known x . OR Produced Identification
Tf
Identificati
Prod
Produced
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'I
Ti:,ced
C� �
(Si 'ture
of Notary Public- State o
of Notary Public- State I
Com ission
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C -13J� 4ofte. Notary Public StateFlorida
No. 7 ;�ja Francene Newman
h - My Commission GG
Notary Public State of
Commis n No. ' �'a0rancene Newman
21434 +� • My Commission
or po Expires 05/23/2022
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or nod Expires 06/23/2022
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FRONT
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SUPERVISOR
PLA
VEGETATION
SEATURTLE
MANGROVE
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COUNTER
REVIEW
REVIEW
RE)A
REVIEW
REVIEW
REVIEW
DAT� �
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REC IVED1
DAT
COMPLETED