HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5 SCANNED Permit Number:
rc�_ _'rm ` BY RECEIVED
LMIJ St. Lucie County
Building Permit Application MAY 0 6 2019
Planning and Development Services
-- - —Building and Code Regulation Division ST. Lucle County, Permltt'Ing .
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial _ Residential x
PERMIT APPLICATION FOR: Aluminum without concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 9408 Pinebark Ct Fort Pierce, FL 34951
Legal Description: MONTE CARLO COUNTRY CLUB - UNIT ONE- LOT 169
Property Tax ID #: 1327-801-0058-000-7 Lot No.169
Site Plan Name: Lugar
Block No.
Project Name: Lugar
Setbacks Front 25 Back: 15 Right Side: 7.5 Left Side: 7.5
DETAILED DESCRIPTION OF WORK:
Install a 38' x 27' aluminum/screen pool enclosure on slab by pool company.
CONSTRUCTION INFORMATION:
A itiona worKtobenerrormed under tispermit—check all apply:
11HVAC Gas Tank E]Gas Piping _ Shutters Q Windows/Doors
11 Electric OPlumbing Sprinklers Generator 'Roof = Roof pitch
Total Sq. Ft of Construction: 'I]
Ft. of First Floor:
Cost of Construction: $ 10,715.00 Utilities:Sewer []Septic Building Height:
O W N E RAESSE E:
CONTRACTOR:
Name Thomas Lugar
Name: Michael J Newman
Address: 9408 Pinebark Ct
Company: Pioneer Screen Co. Inc. II
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No.207564-7189
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 vaiue of construction is $25D0 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: (i
Not Applicable
_ U
MORTGAGE COMPANY: of Applicable
Name:
Address: 4 I
Address:
City: '17a�M
Zip: Phone
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
Name:
_ of Applicable
BONDING COMPANY: Not Applicable
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 postedpin the jobsite
before the first inspection. If you intend to obtain financing, consult with der or an atirey before
commencine work or recordine vour Notice of Commencement.
r
Sign re of Owner/ Lessee/C ntractor as Agent for Owner
Signature f Contractor/ ense H Eder
\
STATE OF FLORIDA
STATE O FLO_ RIDA
COUNTY OF MARTIN
COUNTY OF cCc�
The forgoing instrument was acknowledgedbefore me
The forgoing instru ent wwa�s acknowledged before me
this 27 day of APRIL 2019_ by
Yl lT 20_n by
this � day ofI,�
^ /��� 1`(
1 /
� CC. ( &.kJ
THOMAS H LUGAR
�K. V 1 4 CL/ l
Name of person making statement l
Name of person aking statement
Personally Known OR Produced Identification Xo
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced DRIVERS LIC
Produced
(Signature of otary Public- State of Florida )
(S atu a of Notary Public tate of Florida)
51 0. neth Ellyn Wo
Commission No. •'®>ary public, Stets of FloA
Commission No. FF 9685
d ommission No. 2 Fea
a'��J,"�ry Public Stets of
8 cene NewmanMy
Cemm, Exp. May 8,20
0ommissionGG2
yes
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE -
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
� g
RECEIVED
DATE
COMPLETED
Rev.8/2/17 , N