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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r� Date: Permit Number: Eli tom,.---�.; �,, P. i iy,.. .....� R C-EIVE Building Permit Applicatio Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax:(772)462-1578 Commercial APR 2 3 2019 Permitting Department _S . L�ugiQ County, FL PERMIT APPLICATION FOR: Aluminum without concrete SCANNED PROPOSED IM'ORR0VEMENT.CCitATION. Address: 5808 Clydesdale Ln Fort Pierce, FL 34987 UU Legal Description: PONY PINES UNIT ONE BLK A LOT 27 Property Tax ID #: 3309-605-0030-000-3 Site Plan Name: Chapin Project Name: Chapin Setbacks Front !J A Back: 160.42 Right Side: DETAILED, DESCRIPTION ,QF._1NORK , , 10 ' Left Side: $9 ' Install an aluminum/screen pool enclosure 41'x 28''�onslab bey pool company. ���1�/j Lot No. 27 Block No. A V lY ..:-.. .. CN•. .•.'... .. n 1 CONSTRUCTION -INFORMATION - = aMMitinnm1XA1nrVtnhnn=ne nrmaM nn nr t m normit _ r nr e 4 �t enn v I JHVAC L_IGas Tank 11 Electric 0 Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 8,747.00 Piping "Shutters Ys ElGenerator S Ft. of First Floor: _ Utilities:11Sewer DSeptic ❑ Windows/Doors 11 Roof = Roof pitch Building Height: OWNER/LESSEE: CONTRACTOR: Name Ralph and Gabriele Chapin Name: Michael J Newman Address: 9101 S Indian River Dr Company: Pioneer Screen Co. Inc. II City: Fort Pierce State: FL Zip Code: 34982 Fax: Phone No.772-418-1042 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. SUPPLEIVIENTAL,CONSTRUCTIONLIEN LAW INFORMATION' DESIGNER/ENGINEER: _ Name: Do let & Associales Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: Po 13-1oo39 Address: City: Tampa Zip: 33679 Phone813.857.9955 State: FL City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: Not Applicable BONDING COMPANY: Name: _Not Applicable Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFI IVIT: 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 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 t your prope Notice of Commencement must be re rded and posted on the jobsite before the fir ' spection. If intend to obtain financing, consult witl fender or an aft`Arney before co enci ork or recor l vour Notice of Commencement: / / // Signa e,ofOwner Lessee contractor as Agent for Owner Signatur of Contractoy'cense older STATE OF FLORIDA STATE OF FLORIDA COUNTY OFsaimuoe COUNTY OFsmat-ucia The forgoing instru ent was acknowledged before me The fo ggo,i�ng mst men was acknowledged before me this Jf[ day of= (� 20�by this �ifday of N, 2613 by Michael J Newman WChael 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 Identification Type of Identificatio roduced sx Produced (Sig ture of Notary Public -State orTNotary I of Notary Public- State of Florida ) ne N State r Commission No:���a-a.1q3yanceneNewma Commission GG Floritla(yam,publicStale Commi ion Noa 21434 ofFlor 5 �H'y cane Newmapires ' My CommissionGG2214 05/2312022 4 6ia�o° Expires 05I23/2022 REVIEWS FRONT ZONING SUPERVISOR PLANS, VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17