HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r / ,
mate: I' %• Permit Number. / 0 /— D Y
FRESIdedwialexCount
IVED
a Building Permit Applicati 2019
PlanningandDevelo Development
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Department
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial , FL
PERMIT APPLICATIONFOR: Aluminum without concrete SCANNED
-
PROPOSED IMPROVEMENT LOCATION:
1_NGig jCOnnty
Address: 9410 Pinebark Ct Fort Pierce, FL 34951
Legal Description: MONTE CARLO COUNTRY CLUB- UNIT ONE- LOT 170
Property Tax ID H: 1327-801-0059-000-4 Lot No.170
Site Plan Name: Orcutt Block No.
Project Name: Orcutt
Setbacks Front u1A Back: 241 Right Side: 40r Left Side: Zq r
DETAILED'DESCRIPTION 'OF WORK:
Install a 46' 6" x 25' 6" aluminum/screen pool enclosure on slab by pool company.
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CONSTRUCTION INFORMATION: III
❑HVAC ❑ Gas Tank
❑Electric OPlumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 10,960.00
Sas Piping
❑ Shutters
❑
Windows/Doors
Sprinklers
❑ Generator
❑
Roof ❑ Roof pitch
S Ft. of First Floor:
utilities :Sew&❑Septic Building Height:_
OWNER/LESSEE: >>
CONTRACTOR:
Name John L Orcult
Name: Michael J Newman
Address: 15 Cobbler Ln
Company: Pioneer Screen Co. Inc. II
City: New Milford State: CT
Zip Code: 06776 Fax:
Phone No.321-4433
Address: 1682 SW Biltmore St
City: Port SfLucie 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
1, YdinC w cunsirucuon is pA�uu or more, a KLLUKUtU Notice oT commencement is required.
SUPPLEMENTAL CONSTRUCTION"LIB! INFOftIVIATION
j ry a,r
DESIGNER/ENGINEER: _Not Applicable
Name: Do I0m a Associates
MORTGAGE COMPANY:
Name:
_ Not Applicable .
Address: Po Box,0o3s
Address:
City: Tampa State: FL
Zip:.3367e Phoneat3-857-9s5s
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 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 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
improvements t our property. otce of Commencement must be r�prded and poste¢pn the jobsite'
before t e firs spection. If yo i tend to obtain financing, consult witlx lender or an att ey before
com encine ork or recordi our Notice of Commencempnt_ 7� //
Glrr-----�'
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Signatur of owner/ L ssee/Co tractor as Agent for Owner
Signaty a of Contractor/ icense older
STATE O FLORIDA
STATE OF FLORIDA
COUNTY OF saiat Lucia
COUNTY OF sror4 Wda
The for ng instr=ent was acknowledged before me
this
The forgoing instrument was acknowledgedbefore me
thisAJ*Idayof.TAnQ6ZJ, by
ay of ����, 26_a by
20ig
Michael J Newman
Michael J Newman
Name of person making statement
Name of person making statement
Personally Known ✓ OR Produced Identification
Personally Known OR Produced Identification
Type of Identific do
Type of Ideritific io
Pr uced
Produced
(Signat a of Notary ublic-State f 1pprr d )
e of No=�N
aP'xx' Notary Public State of
,,FFrancene Newman
Commi Sion No. cczzt434 S;aIMy Commission Gc 2z
;i" Expires 05/23/2022
lorida
N����'�ppublic State of Florid:
aC3Qmm sion No.trar ne Newman
My mission G 221434
Expires
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17