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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION.L APPLICABLE 11 FO MUST ;BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q j� )ate: O , 1. (1 Permit Number: sign Building Permit ApplicatioEResRekid�A, AUG 31 2018 Tanning and Development Services uilding and Code Regulation Division Permitting Department 300 Virginia Avenue, Fort Pierce FL 34982 'hone: (772) 462-1553 Fax: (772) 462-1578 Commercial Cr FL RMIT APPLICATION FOR: Aluminum without concrete OPQSfDI1VI"PROVEMI lq LOCATION u .. Iress: 7604 Coquina Ave Fort Pierce, FL 34951 al Description: Lakewood Park - Unit 7 - Blk 79 - Lot 2 ierty Tax ID #: 1301-607-0223-000-9 Plan Name: McGowan act Name: Jacks Front �g.3� Back: 72• `o' Right Side: 21 I Left Side: 2' I Lot No. 2 Block No. 79 `DTAILE.D}DESCRIPTION OF WORK t' x _4 r Ini�tall an aluminum/screen . patio enclosure 22' x 12' with of roof on existing slab. ,p poly 9 CONSTRUCTION INFORMATIQN Q s fi 7 f a I.r.: e,4 x.. n.4 . Additional work to e e orme un er this permit —check a apply: IE1HVAC 0 Gas Tank ❑Gas Piping _ Shutters a Windows/Doors IEElectric 0 Plumbing Sprinklers Generator Roof Roof pitch TO IIal Sq. Ft of Construction: Co,llt of Construction: $ 5,760.00 Sq. Ft. of First Floor: _ Utilities: Ll Sewer 0 Septic Building Height: "KE'R/LESSEE:' CONTRACTOR` N11 Address: Ciy: Zi"p Phone EiI Fill fft me Kathkeen McGowan Name: Michael J Newman Company: Pioneer Screen Co. Inc. II 7604 Coquina Ave Fort Pierce State: FL Code: 34951 Fax: No. 284.1868 Address: 168 SW Biltmore St City: Port Saint Lucie State: FL Zip Code: 34984 Fax: 340.4626 Phone No. 340.4393 ail: in fee simple Title Holder on next page (if different it 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. III GNE me: Do Kim & Associates dress: PO Box 10039 Not Applicable y: Tampa State: FL 1: 33679 Phone 813.857.9955 MORTGAGE COMPANY: V Not Applicable Name: Address: City: State: Zip: Phone: SIMPLE TITLE HOLDER: J Not Applicable I BONDING COMPANY: ✓ Not Applicable me: Name: dress: Address: y: City: I: Phone: Zip: Pho OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I c [i rtify 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 wh 'ch is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. 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 accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following 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 III WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for imlbrovements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first i ection. If you intend to obtain financing, consult wi ender or an att rney before commencing w or recording�ur Notice of Commencement �r . is Si, nature o Owner/ Les e/C ntractor as Agent for Owner Signature f Contractoyfuicens Holder SATE OF FLORIDA STATE OF FLORIDA C UNTY OF Saint Lucie COUNTY OF Saint Lucie T1 e for ing instru Went was acknowledged before me t s day of a' ZO i by The for Ing instru ent was acknowledged before me this of �, h' 201 `� by Michael J Newman Michael J Newman Name of person making statement Name of person making statement Personally Known x OR Produced Identification Personally Known x OR Produced Identification Tipe of Identification Type of Identification Produced Produced (ljgnature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida ) Commission No o`'''M. BZV&LY S WALLA mmission No. �....V'K45e VERLY S V A *c MY COMMISSION # GG023 77 - MY COMMISSION # G ."'Itm EXPIRES NovemberNovember ,, ,,� EXPIRES FRONT ZONING SUPER LANS. VEGETATION SEA TURTLE MANGROVE IEVIEWS COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE l RCEIVED 6 D'TE C ,MPLETED 7