HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL AF
Date:
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED son
Permit Number: 0V
S ANINkO
BY
St. Lucie
County RECEIVED
Building Permit Application AUG, 21 2010
Planning and Development Services
Building g and Code Regulation Division
2300 irginia Avenue, Fort Pierce FL 34982
Phoni111 : (772) 462-1553 Fax: (772) 462-1578 Commercial
Permitting Department
St. Lucie County
Residential X
PER
IT APPLICATION FOR: Aluminum without concrete
PROP,OS'ED'IIVIPROVEM'ENT
ry
LOCATION
Addri
Legal
5140 Dunn Rd Fort Pierce, FL 34981
ption: Dunn Road Estates S/D - Lot 3
Property Tax ID #: 3403-702-0004-000-9
Site Plaln Name: Sparkman
Project Name: -�
Setbac,ls Front Back:
i
Right Side: iq LeftSide: 49
v
DE 1"A'�LE`D DESCRIPTION
Install an aluminum/screen pool enclosure 41'8" x 31'4" on slab by pool company.
Lot No. 3
Block No.
CONSTRUCTION LNFORIVIATIQN d� 5 �1
{
Add
itidna wor to e e orme under this permit — cFe-Ek all apply:
VAC Gas Tank []Gas Piping _ Shutters Q Windows/Doors
ectric Q Plumbing Sprinklers Generator Roof Roof pitch
Total S( Ft of Construction: S Ft. of First Floor:
Cost of �'i
onstruction: $ 11,681.20 Utilities: Sewer � Septic Building Height:
OWNER/LESSEE:'
CONTRACTOR:
Name Luke
Addres
City: F
Zip Coe:
Phone
E-Mail I
Fill in fete
from tFj'i
& Kathleen Sparkman
Name: Michael J Newman
: 6853 Jorgensen Rd
Company: Pioneer Screen Co. Inc. II
�rt Pierce State: FIL
34983 Fax:
No. 878.7752
Address: 1682 SW Biltmore St
City: Port Saint 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 value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SIP
LE.MENTAL,CON TRIXCTiON�LIFNIAW INFORMATION
Aef i
N-M,"
DESI,
i NER/ENGINEER: = Not Applicable '
MORTGAGE COMPANY, _ Not Applicable
Nam'
:DoKimaAssociates
Name:
ss: PO Box 10039
Add r
Address:
ampa State: F�
6679 Phone 813.857.9955
city;lI
Zip:
City: State:
Zip: Phone:
FEE SJMPLE
Name
TITLE HOLDER: _ Not Applicable
� '
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:l
City:
1
l Phone:
Zip: Phone:
Zip: l
OWNiR/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certi l that no work or installation has commenced prior to the issuance of a permit.
St. LiA County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which i in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structu, e. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In cons eration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in acco dance 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,
access structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WAR'l ING TO OWNER: Your failure to Record a Notice of Commencement may. result in your paying twice for
impro ements to your propPinR
y. A Notice of Commencement must be recorded and post on the jobsite _
befor the first inspection.ou intend to obtain financing, consult w'th lender or an ney before
comm.encir>ork or rec r your Notice of Commencement. "
of
STAI OF FLORIDA
COUJI ITY OF saint Lucie
as Agent for Owner Signature of Contra ctgr7License'H older
i
STATE OF FLORIDA
COUNTY OF SaintLyoie
The f mooing instry�rtent was acknowledged before me
this day of II 1 ;S 20 by
i.
MichaQ J Newmna
Name of person making statement
Personally Known x OR Produced Identification
Type'i i� f Identification
Prod iced
The forgoing instrument was acknowledged before me
this I:L14- day of 20 (ram by
Michael J Newman
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signture of Notgry P (Signature of Noi Pub - da
4'y'y'v. .�'ilRr� .,
GG023 " : RI
7y-c,
ENL�1��S WALLACE GG0237 » M �V S WALLACE
Com Ission No. *:jj Commission No.
# GG023777 CO ION# GG023777
��',����XPIRES November 03, 2020
RES November 03, 2020
REV EWS -FRONT -ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW • REVIEW REVIEW REVIEW
RE(
DA
Rev. 8/,2/17