HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 ry 1 Q
Date: • Z Permit Number: `kU'
L L. �j
RECEIVED
Building Permit Application DEC 2 6 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982 _
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Aluminum without concrete �vnivivcv
BY
PROPOSED IMPROVEMENT LOCH i ION: St Lucia County
Address: 9413 Briarcliff Trce Port St Lucie, FL 34986
Legal Description: Briarcliff at PGA Village Lot 14
Property Tax ID ff: 3322-801-0019-000-3 Lot No.14
Site Plan Name: Friedman Block No...
Project Name: Friedman
r
Setbacks Front WIA Back: Right Side: G•O Left Side: 4.0
DETAILED DESCRIPTION OF WORK:
Install a 53' x 30' aluminum/screen pool enclosure on existing slab.
CONSTRUCTION INFORMATION:
Itiona wor to e performed un
❑HVAC Die
ert ispermit—c check
❑Gas Piping
a
apply:
In
❑Windows/Doors
_Shutters
❑ Electric 0 Plumbing
❑Sprinklers
❑ Generator
❑ Roof ❑ Roof pitch
Total Sq. Ft of Construction:
13,483.00
Sc
Ft. of First Floor:
❑
Building Height:
Cost of Construction: $
Utilities:
Sewer Septic
OWNER/LESSEE:
CONTRACTOR:
Name Kad and Kathleen Friedman
Name: Michael J Newman
Address:9413 Briarcliff Trace 3'
company: Pioneer Screen Co. Inc. II
P Y:
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone No. 516-680-7672
Address: 1682 SW Biltmore St
City: Port St Lucie State. FL
Zip Code: 34984 Fax: 772-340-4626
Phone No. 772-340-4393
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from 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.
SUPPLEMENTAL;.CONSTRUCTIOWLIENtLA.
INFORMATION
DESIGNER/ENGINEER: _
Name: DoKnagAssociates
Not Applicable
MORTGAGE COMPANY: _
Name:
Not Applicable .
Ad dress: Po Box 10039
Address:
City: Tampa State: FL
Zip', 33579 Phone 813-857-9955
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _
Name:
Not Applicable
BONDING COMPANY: 17Not
Name:
Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ 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.
no
!e the permit holder to build the subject structure
or andcovenantsthat may restrict or prohibit such
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 .
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvementgo your property. A Notice of Commencement must be recorded and posted on the jobsite
before the fjfyt inspection. jf�rou intend to obtain financing, consult yth lender or attorney before
commen work or recofdfne vour Notice of Commencement.
�Sigq ture of Owr) r/ Les ee/Contractor as Agent for owner
Sign ure of Contr? for/Ltense
Holder
STAATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFsaintwoe .
COUNTY OFssnt�e
The f r oing instru ent was cknowiedge before me
The for Ing instru ent was a knowledged efore me
this day of G 1' 1/ 20 _ by
this day of
20 by
Michael J Newman
Michael J Newman
Name of perso9 making statement
Name of person making statement
Personally Known ✓ OR Produced Identification
Personally Known ✓
OR Produced Identification
Ty a of Identification
Type of ideritificati
Pr duced
Produced
(Signatur of Notary Public-S
natur of Notary Public' State of Florida )
xt� Notary Public State of Florid
3`
Commis Ion No. GG221439
, (Seallcene Newman
C mission No. GG221434
I)
g pMy Commission GG 221434 �r
pneF Expires 0612=022
f�
4P`P" `! Notary Public State of Florida
Francene Nenman
Expir
a mINlCO GG 221434
Ti
REVIEWS
FRONT
ZONING
SUPERVISOR
PLAN
VEGETATION
OVE
COUNTER
REVIEW
REVIEW
R E
REVIEW
REVIEW
DATE
RECEIVED
DATE
j
COMPLETED
Rev.8/2/17