HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
SCAK1 Permit Number: AMY.OY6ol
BY RECENED
• _ St. Lucie County
Building Permit Application MAV 2?, IN
Planning and Development Services p,,mitt,ne:oop,,tment
Building and Code Regulation Division St. Lucre County
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: III
Address: 453 SE Naranja Ave Port St Lucie, FL 34983
Legal Description: RIVER PARK- UNIT 4- BLK 32- LOT 8
Property Tax ID #. 3419-530-0008-000-9
Site Plan Name: Coffey
Project Name: Coffey
Setbacks Front N/44 Back: 60•1� Right Side: C4?1 LeftSide: 1a51
Lot No.8
Block No. 32
DETAILED DESCRIPTION OF WORK: III
Install a 57' x 18' aluminum/screen pool enclosure on slab by pool company.
CONSTRUCTION INFORMATION: III
OHVAC L J Gas Tank
11 Electric 0 Plumbing
— cnecK a
Piping LJShutters
nklers 11 Generator
Total Sq. Ft of Construction: S Ft. of First Floor: _
Cost of Construction: $ A( D/J , 47J - Utilities:Semier DSeptic
I� Windows/Doors
Roof = Roof pitch
Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Larry and Kathleen Coffey
Name: Michael J Newman
Address: 453 S Naranja Ave
Company: Pioneer Screen Co. Inc. II
City: Port St Lucie State: FL
Zip Code: 34983 Fax:
Phone No.878-7752
Address: 1682 SW Biltmore St
City: Port St Lucie State: FL
Zip Code: 34984 Fax: 772-3404626
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 vaiue of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Iy
SUPPLEMENTAL CONSl'RUCTION
LIEN LAW INFbRMATIgN
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name: Do Kim s Assotiates
Name
Address: po 6ax,o03s
Address:
City: Tampa
State: FI-
City:
State:
Zip: a3sTs Phone a13-a57-ssss
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 antl 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 nspection. If y ntend to obtain financing, consult lender or an attorney before
commencin ork or recordi our Notice of Commencement.
Rev.8/2/17
Signa re of Owner Lessee/ ontractor asAgent for Owner
Signatu a of Contractoy Licen a Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF samwaa
COUNTY OF samlwee
The for oing instrumen w s acknowledged efore me
this � day of � acknowledged
The for oing instrument
this � day of
as acknowledged before me
204 by
Michael J Newman
Michael J Newman
Name of person making statement
Name of person making statement
Personally Known ✓ OR Produced Identification
Personally Known ✓
OR Produced Identification
Type of Identifi ion
Type of Identifica '
Produced
Produced
(Signatur of Notary Public -State of Florida)
(Signatur of Notary Public -St
Commission No. GG221434 �aVyw�$eal�tary Public State ofFl
Francene Newman
'�Om ISsionNO.
�� Public Stale or Floritl
y , ne Newman
My Commission GG 221
a+orn� Expue505/23/2p22 221434
for nod Expires 05/23/2022
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