Loading...
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. <F:r-VL ;fp&b n;4- 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-----�' e / �.✓' 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