HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED o
Date: a O- Ko e Permit Numbe'• _
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RECEIVE®
Building Permit Application °Cr:;6 a®1s
Planning and Development Services �r�t►i""0
Building and Code Regulation Division fir` �glile 90017ttMyenf
2300 irginia Avenue, Fort Pierce FL 34982
Phon:'(772) 462-1553 Fax: (772) 462-1578 Commercial. Residential X
PERMIT
APPLICATION FOR:
Aluminum without concrete
PROPOSEQ
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DEMENT
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Address: 7678 Wexford Way Port St Lucie, FL 34986
Legal D escri-pt-ion: RESERVE PLANTATION - PHASE I- LOT 18 81 Lurie Count
Property Tax ID #: 3321-801-0018-000-3
Site Plan Name: Orlando
Project Name: Orlando
Setbacks Front 5S-1� Back:
r 1
5R,2"1 Right Sider $�i. Left Side: 2"
Install !an aluminum/screen pool enclosure 88' x 59' on existing slab.
Lot No.18
Block No.
Additi , nal work to be ertormed under tnls permit- cnecK all apply:
�HVAC 0 Gas Tank -]Gas Piping _Shutters Q Windows/Doors
Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost o Construction: $ 38,210.00 Utilities: L_ISewer OSeptic Building Height:
OWNER/LESSEE
'names Orlando
CONTRACTOR PioneerScreen Co Inc II
Name .dames Orlando
Name: Michael J Newman
Addres s.7678 Wexford Way
Company: Pioneer Screen Co. Inc. II
City: Port St Lucie- State: FL
Address: 1682 SW Biltmore St
Zip Code: 34986 Fax:
City: Port St Lucie State: FL
Phone No. 954-931-1060
Zip Code: 34984 Fax: 772-340-4626
E-Maid
Phone No. 772-340-4393
Fill in fee
simple Title Holder on next page (if different
E-Mail: pioneerscreen@msn.com
from the
Owner listed above)
State or County License: RX11066919
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUP, PL'�MENTALCONSTRUCTIONLIEN
LAW INFORMATION.
+}
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Nam : Do Kim & Associates
_
'Name:
Addr:Ss: Po6ox10039
Address:
City: (Tampa State: FL
City: State:
Zip: 33679 Phone 813.857.9955
Zip: Phone:
FEE SIMPLE
TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
I
Name:
ss:
Addr
Address:
City
City:
Phone:
I
Zip: Phone:
Zip:
OWN�R/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certi 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
which 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 aggree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and 5t. 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
WARNNG TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your prope A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. ou intend to obtain financing, consult with lender or an torney before
Comm enci work or ec in our Notice of Commencement.
Signatu a of Contract?(/Licenk Holder
' Signata of Ow / Lesse Contractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COU NTY OF saint Lucie
COUNTY OF Saint Lucie
The forgoing instrument was acknowledged before me
this ��day of 4 d- 20& by
The forgoing instru ent was acknowledged before me
this I day of a k,S4— 20 18 by
Michael J Newman
Michael J Newman
IName of person making statement
Name of person making statement
Persohally
Known X OR Produced Identification
Personally Known X OR Produced Identification
Type of
Identific
Type of Identificat'
Produced
I _
Produced
(Sign
ture of Notary P lic- 6tate of F
r f Notary Public- Stake o
Commission
�� '1 r Vrt% Nota Public Stateof
No.6&- ;?I ..a `�� I � Francene New
My Commission
Florida / �/ a � NotaryPublic State o
aGommissi No.ls�-c1 a 4J Iyranene Newman
G 221434, My Commission GG
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pia Expires 05/23/20
2 Expires 05/23/2022
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REVII
WS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE'
ED
DATE
COMPLETED
Rev. 8/2/17