HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONf
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �T �\ \� SCANNED Permit Number:
rs. BY
J5QdLFNffSt. Lucie CountyD RECEIVED
Building Permit Application APR 1 6 ?Qi9
Planning and Development Services
Building and Code Regulation Division ST. Lucle 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 III
I PROPOSED IMPROVEMENT LOCATION: III
Address: 5144 Cherry Palm Way Fort Pierce, FL 34981
Legal Description: RIVER BRANCH ESTATES LOT 3
Property Tax ID q: 3404-809-0007-000-1
Site Plan Name: Lawson
Project Name: Lawson
Setbacks Front Back: 251
DETAILED DESCRIPTION OF WORK:
Right Side: 451 LeftSide: Zl r
Install a 41' 1" x 19' 11" aluminum/screen pool enclosure on slab by pool company.
Lot No. 3
CONSTRUCTION INFORMATION:
A itiona wor to orme under
t—checkispermit
a apply:
jeDe
❑L HVAC J Gas Tank
❑Gas Piping
Shutters
❑ Windows/Doors
❑ Electric ❑ Plumbing
❑Sprinklers
❑ Generator
❑ Roof ❑ Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 8,847.00
Utilities:q❑Sewer ❑Septic
Building Height:
0 W N ER/LESSEE:
CONTRACTOR:
Name Jerry and Sylvia Lawson
Name: Michael J Newman
Address:1274 SE Naples Ln
Company: Pioneer Screen Co. Inc. II
City: Port St Lucie State: FL
Zip Code: 34983 Fax:
Phone No. 757-377-3616
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.
I:SURNLhMENLAL-,.00N5+KULI1UN,LIEM'LAW:INFORMATION..
Name: Do Inm & associates
Address: Poll -boas
City: Tampa State: FL
Zip: 33679 Phone e13-1157-9955
FEE SIMPLE TITLE HOLDER: ✓ Not Applicable
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: ✓ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _�_/NotApplicable
Address:
Zip:
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 to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the firs�tt inspection you intend to obtain financing, consult wiyy� lender ct a ttorney before
commenci=ork or recvIng your Notice of Commencement. //
Signatu a of Own r Lessee Lontractor as Agent for Owner
Signat re of Contract r/Lic ✓,se Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF saint was
COUNTY OF sxim waa
The forgoing instru ent was acknowledged before me
day Vl by
The forgoing instrumm ent as acknowledged before me
this � day of � 20Aft by
this'o2 of 20�
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 Identifica ' n
Type of Identificatio
Pro uced
Pro uced
(Signature f Notary Public- t f r'd
nature f Notary Public- the FI r
Commission NO. GG221434 OOP S[d�gqyyry Public State of Flori
( RPEhcene Newman
a GG22143d yR N P�yblic State of Florida
Co mission No. aP Fhk Newman
�2 My Commission GG 2214
Expires 0512312022
g My commission GG 221434
Expires 05/23/2022
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Rev.8/2/17