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BUILDING PERMIT APPLICATION
ALL APPLICABLE) INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: J / ' l q SCANNED Permit Num BY St. Lucie County ••Ii1RiRi�►'� Building Permit Applicatiol 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 PERMIT APPLICATION FOR: Aluminum without concrete PROPOSED IMPROVEMENT LOCATION: Address: 9624 Crooked Stick Ln Port St Lucie, FL 34986 Legal Description: POD 18 AT THE RESERVE PUD II LOT 6 E..a NE MAY 1 P019 Permitting Department St. Lucie County, FL Property Tax ID #: 3327-711-0013-000-0 Site Plan Name: Periera Project Name: Periera Setbacks Front Back: 22142 Right Side: 2t.731 LeftSide: 'Z'1.47r DETAILED DESCRIPTION OF WORK: Install a 53.5' x 34' aluminum/screen pool enclosure on existing slab. Lot No. 6 Block No. ay0A0©0b c X TBOL CONSTRUCTION INFORMATION: I UIIOI WUIIL LU UC CIIUI IIICU UIIUCI UII] HUI II I IL-LI HVAC Gas Tank E]GasPiping Electric 0 Plumbing []Sprinklers Total Sq. Ft of Construction: _ Cost of Construction: $ 18,640.00 ❑_Shutters Windows/Doors 11 Generator E—] Roof = Roof pitch Sq� FFtt.I of First Floor: Utilities: nSewer E Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Sam L Perera Jr Name' Michael J Newman Address: 9624 Crooked Stick Ln Company: Pioneer Screen Co. Inc. II City: Port St Lucie State: FL Zip Code: 34986 Fax: Phone No.407-506-4213 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 SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION4 DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: oo lcm 8 Assuciales Name: Address: PO Box 1003e Address: City: Tampa State: FL City: State: Zip: 3367e Phone 8+3-857-99ss Zip: Phone: i FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: ] Not Applicable Name: Name: 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 to your property. A Notice of Commencement must be recorded and posted on the jobsite before the fir inspection. If yW intend to obtain financing, consult Jh lender or ttorney before commencin6Work or recordirfdvour Notice of Commencement. of STATE OF FLORIDA COUNTY OF saimwae as Agent for Owner The for oing instrum nt was acknowledged before me thisdayof�r 20 by Michael J Newman Name of person making statement Personally Known ✓ OR Produced Identification Type of Identification (Signayure of Notary Public -State of Commission No. GG221434 REVIEWS DATE 1:M NVINqq11@@ $�ippEli0 State of Florida NLYc'e'tte Newman My Commission GG 221434 Expires 0512312022 STATE OF FLORIDA COUNTY OF sxintLucia The forgoing instru entw ackledged before me this ffnow day of 20_0by Michael J Newman Name of person making statement Personally Known ✓ OR Produced Identification Type of IdentificatJpn, of Notary sty, NQt�tx Rublic State of Florida No. GG221434 +� `t� F4�flPkfle Newman '7 My Commission GG 221434 Expires 05/23/2022 FRONT ZONING SUPERVISOR PLANS VEGETATION ISEATURTLE IMANGROVE COUNTER I REVIEW REVIEW REVIEW REVIEW I REVIEW I REVIEW