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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONC ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1 .q' �;og' IV. Permit Number: ER(Std E® Building Permit Applicati Planning and Development Services 8 Building and Lode Regulation Division drtment 2300 Virginia Avenue, Fort Pierce FL 34981 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ltx, FL PERMIT APPLICATION FOR: Aluminum without concrete PROPOSED IMPROVEMENT LOCATION: Address: 9106 Champions Way Port St Lucie, FL 34986 �/>//�� Legal Description: LAKES AT PGA VILLAGE BLK B LOT 23 4UCi °untl. Property Tax ID #: 3334-501-0101-000-1 Lot No. 23 Site Plan Name: Spencer Block No. B Project Name: Spencer Setbacks Front Back: 16.OZr Right Side: 7.,79 f Left Side: $. 6 DETAILED DESCRIPTION OF WORK: Install a 40' 4" x 17' aluminum/screen pool enclosure on slab by pool company. �em1 Er-r,-� + I*�)a. 0\/00- CONSTRUCTION INFORMATION: Additional work to e e orme under tispermit—checka apply: �HVAC E] Gas Tank ❑Gas Piping _Shutters Q Windows/Doors Electric 0 Plumbing ❑Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: ScFt. of First Floor: Cost of Construction: $ 9,619.00 Utilities:Sewer 0Septic Building Height: OWN ER/LESSEE: CONTRACTOR: Name James and Karen Spencer Name: Michael J Newman Address: 9106 Champions Way Company: Pioneer Screen Co. Inc. II City: Port St Lucie State: FL Zip Code: 34986 Fax: Phone No. 907-841-4895 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 It value of construction is 5Z500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL'.CONSTRUCTION";LIENiLA I INFORMATION DESIGNER/ENGINEER: _ Not Applicable N ame• Do Kim a Awadatas MORTGAGE COMPANY: Name: _ Not Applicable . Address: Po Box 10039 Address: City: Tampa State: FL Zip, 33679 Phoneai3-957-9955 City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Name: Not 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. St. Lucie County .o makes no representation that is'granting a permit will authorize thepermitholder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylawsr an 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 WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvement$ to your properW.q Notice of Commencement must be r orded and p sted on thejobsite' before the fj1�St insp ion. If o ntend to obtain financing, consult ysi lenfier or attorney before co Jo work or re or m vour Notice of Commencement. 11 Signa ure of Ow er/ es a Contractor as Agent for Owner Signat Ire of Contractor Li arise Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF soul woe . COUNTY OF semi wde The for ing ins ument was acknowledged before me �iday The fo ng instr ent was acknowledge efore me this ofJXe',eln �r . 20� 6y this ay of Cr 201& 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 Type of Iden[if ion Type of Ideritific on P oduced Produced (Sign ure of Notary ublic- of Notary Public -State of Floridallotary Public State of Florida r Commission No. Gc221a3a IBacaene Newman latu mission No. GG221a3a //����''�� n kialic State of Florida y Commission GG 221434 05/23/2022 Francene Newman „FyF +� •Expires My Commission GG 221434 4i of Expires 05123/2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 1 IY