HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI
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ALL' PPLICABLE INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ` d
Datlle: �� Permit Number: 1���� o 5 }rj
Building Permit Application AUG �� 0 �.09g
ing and Development Services
ng and Code Regulation Division ST. Lucie County, Permitting
Virginia Avenue, Fort Pierce FL 34982
e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT
APPLICATION FOR: Aluminum without concrete
ICI
P.RO,POSED
IIVIPROVENIENT LOCATION.
5514 Birch Dr Fort Pierce FL 34982 v u
Address: �
.III --• z.�Ti,
Lega10
Description: Indian. River Estates - Unit 08 - Blk 57 - Lots 14 & 15
Propel" Tax ID #: 3402-609-0192-000-4
Site PI' n Name: Stoltz
Proiecll Name:
Lot No. 14&15
Block No. 57
ack: Right Side: Left Sider 1 d
SCRIFTION QF "RI
Install Ion aluminum/screen pool enclosure 38' x 32' on slab by pool company.
1. Y% Og— 0 55ro
CONS' .RyCTIO'N INFORMATION
Additional dworkto je ne ormeunder tis permit --checka apply:
RVAC L__I Gas Tank []Gas Piping Shutters a Windows/Doors
�`�ectric 0 Plumbing Sprinklers I Generator FRoof FRoof pitch
TotalS. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ 8,705.80 Utilities: LJ Sewer 11 Septic Building Height:
II
b*.NO LESSEE: "
CONTRACTOR:
Name dptherine Stoltz
Name: Michael J Newman
Address 5514 Birch br
Company: Pioneer Screen Co. Inc. II
City: Fort Pierce State: FL
Zip Code: : 34982 Fax:
Phone 40. 878.7752
Address: 1682 SW Biltmore St
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 340.4626
Phone No. 340.4393
E-Mail: 11
Fill in fe� simple Title Holder on next page (if different
from thel owner listed above)
E-Mail: pioneerscreen@m8n.com
State or County License: RX11066919
If value ofjconstruction is $2500 or more, a RECORDED Notice of Commencement is required.
'
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DESIGNER/ENGINEER: _ Not Applicable
Name: FC. m : 35 cccy a' e5
MORTGAGE COMPANY: ✓-Not Applicable
Address: 4 -D • o', 1 o031t
Name:
Address:
City: "darn ct State: r�
Zi .3LP`i Phone: 13. .�
Pf� Q r �. G 55
Cit y State:.
Zip:. .Phone:
Me:
SIMPLE TITLE HOLDER: o� Not Applicable.
BONDING COMPANY: Not Applicable.
Address:
Name
City:
Address:
.
Zipl�
City:
Phone:
Zip: Phone;.
Lcertifythat no work.or installation. has commenced prior to'the issuance of a permit.
St. L',�cie County makes no representation that is granting a permit will authorize the ppermit holder to build the subjectstructure
which is in conflict with any applicable Home Owners Association. rules, bylaws or and covenants that may restrict or prohibit such.
struature. Please consult with your Home Owners Associatiomand review your deed for any restrictions which may apply.
-.In co sideration of the granting of this requested:permit, I do. hereby agree that I will, in -all respects, perform the work
in ac'ordance_with=the approved plans, the Florida Building Codes andSt.: Lucie CountV•Amendments:
The fP�l llowing building permit applications' are exempt from undergoing a full concurrency review: room additions, ..
acce$sory 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 -
imp 1ovements to your.property. A Notice of Commencement must be corde and posted on the'jobsite
before the first inspection. If you intend to obtain financing, consult Ith .len r-or an attorney before
CoWnencinja work or recording our Notice of Commencerment.
ul
s .
Signature of Owner/Less_ ee/Contractor as Agent for Owner SignaLF
of Contract License Holder
Id _ .
S.T ;E OF FL N 1 STAFLO%PA
COU TY OF. 1 COUNTY OF J'� ' LQ6f-
The f instru e t w s ac wledge fore me The forgoing instrument was acknowledged before me
•this III "day of 20 ' y this t5day of �` 20 t by
(N I _ on acknowledging):. (Name of person acknowledging) .
Oft5& Public- State of Florida) (Signature of Notary Public- State of Florida )
I; 1 TRACEY W. M EE / ...
Personally n�wn OR IC Personally Known V OR Produced Identification
Type-0 Identification Produce P ORIDA Type of Identification Produced
IIComnCFF241935y,,, B
Comm! sion No: 3g1 �(S i. Tres 8110/2019 Commission ` ' %: EVERLY S VWOACE
MY COMMISSION # GG023777
Revi4 d 07/15/2014
REVITS . FRONT t ZONING SUPERVISOR .PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER: REVIEW -.REVIEW REVIEW -REVIEW- REVIEW -REVIEW
.DATE
COMPLETE .: