HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: .24 =0 Permit Number: I(1 C) tuLl `a
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Building Permit Application
Planning and Development Services 6ycieoepa
Building and Code Regulation Divisionc°n��e,t
2300 Virginia Avenue, Fort Pierce FL 34982 SCANNED
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x BY
PERMIT APPLICATION FOR: OL. L_ucle UIJUH1ll
Aluminum without concrete
;PROPOSED IMPROVEMENT LOCATION: III
Address: 238 Bimini Dr Hutchinson Island, FL 34949
Legal Description: CORAL COVE BEACH- SECTION ONE-BLK 3- LOT 5
Property Tax ID #: 1425-701-0045-000-7
Site Plan Name: Workman
Proiect Name: Workman
Setbacks Front 10A r Back: Io Right Side:
DETAILED DESCRIPTION OF WORK:
Left Side:
Install a 40' 2" x 14' 9" aluminum/screen pool enclosure on slab by pool company.
Lot No.5
Block No. 3
CONSTRUCTION INFORMATION: III
11HVAC Ll Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 7,310.00
Piping
=rs E] Generator
S Ft. of First Floor:_
Utilities: Sewer E Septic
❑Windows/Doors
ERoof = Roof pitch
Building Height:
OW N ERAESSEE
CONTRACTOR:
Name Christopher Workman
Name: Michael J Newman
Address: 238 Bimini Dr
Company: Pioneer Screen Co. Inc. II
City: Hutchinson Island State: FL
Zip Code: 34949 Fax:
Phone No.539-1910
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 or construction IS ,,ZWU or more, a RECORDED Notice of commencement is required.
SUPPLE''MENTALCONSTRUCTIONL'IEN
a
LAW
INFORMATION---',`
DESIGNER/ENGINEER: _
Name: oe xN, a pmociates
Not Applicable
MORTGAGE COMPANY
Name:
_ Not Applicable
Address: Po Box 10039
Address:
City: Tampa
Zip: 33679 Phone8l3.857.9955
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
_Name:
Not Applicable
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.
1 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 1 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 A your property. kNotice of Commencement must be rded and posteon the jobsite
before t e fir spection. If yoend to obtain financing, consult it ender or an a ey before
co encin rk or rCc rdinls�����i444444���nnn(((GGGJJJr Notice of Commencement. l
Signatu r.of Owner/ Le e/ n ractor as Agent for Owner
Signature of Contractors icens Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF saint woe
COUNTYOFsamtL -
The for ping instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this yr day of ZZM411 26 M by
this 2L day of 1264 by
_ J
m Michael J Newan .l
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 Identificatio
Type of Identific tf"h
Produced
P oduced
(Signatur of Notary Pu(lic-State of FI
Notary Public- State of
( tW'r Notary Puolia s
No:i>Gaa Y3 ( FranceneNe
My Commissio
to or Florjtle_ �f# SWieCommission
rQwmission o. c9 aalt{3vlma+�
GG
Expires 05/23/2
221434 n GG9ip,n�
22 2022
REVIEWS
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SUPERVISOR
PLANS.
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SEA TURTLE
MANGROVE
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DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17