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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 G�r1 y� Qj Permit Number:nk RECEIVED ® Building Permit Application SEp 2.1 2010 Planni g and Development Services Permitting Department Buildi g and Code Regulation Division St. Lucie County 2300 Virginia Avenue, Fort Pierce FL 34982 Phon�: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PER IT APPLICATION FOR: Aluminum without concrete WANNE© PROPOSED1IMPROVEMENT,-LOCATION. 'f�f`If'`s, .r1t`tY11iU Addre s. 6312 E Seminole Rd Fort Pierce, FL 34951 Legal escription: LAKEWOOD PARK- UNIT 6- BLK 65- LOT 10 Prope y Tax ID #: 1301-606-0154-000-1 Lot No. 10 Site PI In Name: Sanders Block No. 65 Project Name: Sanders ks Front Back: �� I Right Side: y3f Left Side: �j I Setba DET TILED DESCITONOFWORK w�} .L 4 Install a 23' x 12' aluminum/screen enclosure with poly roof on existing slab. CQR�STRIJCTION INFORMATION Addit,ional work to be nertormed under this permit— checR all apply: ❑HVAC Gas Tank Gas Piping _ Shutters a Windows/Doors L!I Electric 0 Plumbing ❑Sprinklers ❑ Generator ❑ Roof Roof pitch Total ISq. Ft of Construction: S . Ft. of First Floor: Cost f Construction: $ 5,440.00 Utilities: 0Sewer 0Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Addi`I City: Zip Pho E- Fill ilI front Irene and Earl Sanders Name: Michael J Newman Company: Pioneer Screen Co. Inc. II ss: 6312 E Seminole Rd , Fort Pierce State: FL ode: 34951 Fax: a No. 772-708-9453 Address: 1682 SW Biltmore St City: Port St Lucie State: FL Zip Code: 34984 Fax: 772-340-4626 Phone No. 772-340-4393 il: fee simple Title Holder on next page (if different 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. SUPPEIVIEIVTAL CONSTRUCTION LIEN LAW�INFORMATION ; u, k 4 s h 'Yt DESIGN NameJI ER/ENGINEER: _ Not Applicable ' o Kim & Associates MORTGAGE COMPANY: y Not Applicable Name: Add re s: PO sox 10039 Address: City: Tmpa State: FL City: State: Zip: 33 9 phone 813.857.9955 Zip: Phone: FEE SI � PLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name Name: s: Addre Address: I City: City: I Phone: Zip: Phone: Zip: OWNEi�/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify That no work or installation has commenced prior to the issuance of a permit. St. Lucie Counter makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is h conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structur '. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consi ration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accor, , ance 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 structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARN ING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for impro 'ements t your prope . A Notice of Commencement must be recorded and posted on the jobsite beforel0fir ' spection. If intend to obtain financing, consult wjtt9lender or an�ttorney before rnmm nrin i Writ nr rornr avnttr Alntira of ('nmmanramant � �� l�// Sig at re of Owner esse /Contractor as Agent for Owner Signature f Contract /License older IE STA OF FLORIDA STATE OF FLORIDA COUh' TY OF saint Lucie COUNTY OF saint Lucie The f oing instrument was acknowledged before me S The for oing instru ent was acknowledged before me this Iday of 20� by this day of r 2017 by .�_NL -P� , Michae, 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 Type f Identifica "on Type of Identifica . n Prod iced Pro uced (Sign i tulle of Notary Publi - State o '%4 e of Notary Public- State Com I �a1 Notary Public State `A Francene Newma fission No.-&�- q3Y y) My Commission GG o:F] ' •dt Notary Public State of On NO., l J �alrancene Newman Commission GG 2 der Expires 06/23/2022 y .Expires05/2312022 REVIEWS FRONT ZONING SUPERVISOR PLANS. VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DAT REC IVED DAT CO M�PLETED Rev. 8y2/17 ii