HomeMy WebLinkAboutBUILDING PERMIT APPLICATION.L APPLICABLE 11 FO MUST ;BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q j�
)ate: O , 1. (1 Permit Number:
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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
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SUPER
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VEGETATION
SEA TURTLE
MANGROVE
IEVIEWS
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
l
RCEIVED
6
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,MPLETED
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