HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number: 1U_b0_)9
RECEIVED
•
P Building Permit Application NOV 13-2018
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Aluminum without concrete SCANNED
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15" OPT
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N.. -Rt
-PROPPSEDIM'
AddresS. 2115 Trowbridge Rd Fort Pierce, FL 34945
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Legal Description: 13 35 38 From NE COR OF SW 1/4 OFSE 1/4 RUN S ALG C/L TROWBRIDGE RD 858.51 FT TH W 30 FT TO POB, TH S ALG W R/W
SD RD! 159 FT, TH W 608.93 FT, TH N 159 FT, TH E 608.93 FT TO POB
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Property Tax ID #: 2213-434-0002-000-7 Lot No.
Site Plan Name: Dewitt Block No.
Project�Name: Dewitt
SetbacIks Front WIA Back: q3' Right Side: 52f Left Side:
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Install a 28'x 12'aluminum/screen enclosure with poly roof on existing concrete.
7CAN _S,T-_ CTIQKI�NiORM QJN
Aciclltio�al work to be nertormed undder thispermit—
check all apply:
LIHVAC oGas Tank E]Gas Piping Shutters
Electric ❑ Plumbing OSprinklers Generator
Total Sq., Ft of Construction:
C-0
Cost of Construction: $
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S Ft of First Floor:
Utilities.T] Sewer 0Septic
11 Windows/Doors
E]Roof Roof pitch
Building Height:
�OWNER/LESSEE:
CONTRACTOR:
Name Diane Dewitt
Name: Michael J Newman
Address-1 2115 Trowbridge Rd
Company: Pioneer Screen Co. Inc. 11
City: Fort Pierce State: FL
Zip Code: 34945 Fax-
! 772-215-2720
Phone NO.
E-Mail:
Address: 1682 SW Biltmore St
City: Port St Lucie State- FL
34984
Zip Code: Fax: 772-340-4626
Phone No. 772-340-4393
Fill in fe4 simple Title Holder on next page (if different
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from thel Owner listed above)
E-Mail: pioneerscreen@msn.com
State or County License: RXI 1066919
If value of, construction is $2500 or more, a RECORDED Notice of Commencement is required.
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'SUPPLEMENTAL CONSTRUCTION LIEN
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LAW INFORMATIQN
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DESIGNER/ENGINEER: _Not Applicable
MORTGAGE COMPANY: _ Not Applicable
N a m 6: Do Kim & Associates
Name:
Address: Po sox 10039
Address:
City: Tampa State: FL
City: State:
Zip: 33679 Phone 813.857.9955
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Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Applicable
Name:
_Not
Name:
Address:
Address:
City:
City:
Zip: Phone:
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Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify jthat 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, 1 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
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WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to our property. otce of Commencement must be r rded and po on the jobsite `
before the firs oi pecti n. If y i tend to obtain financing, consult ender or an ney before
com ncin or rec rdi ur Notice of Commencement.
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4�2_6,
Signa dre f Owner/ L ss /Co ractor as Agent for Owner
Signatur of Contracto Licens Holder
STATE OF FLORIDA
STATE OF FLORIDA
COURITY OF saint Lucia
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COUNTY OF -Saint L pie
The forgoing instrument was cknowleclgo, before me
this L day of J 20 by
The forgoing instrument was acknowledged efore me
this day of 6V 20 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
Type of Identif' a ion
P ducIed
Type of Identifica 'o
Produced
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Commt sion No. s Francene Ne
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to of Florida
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res 05/23/20
REVIEWS
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VEGETATION
SEA TURTLE
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REVIEW
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REVIEW
REVIEW
REVIEW
DATE
RECEIVED
�( 1
DATE j
COMPLETED
Rev.8/2/,17
f Florida
21434