HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /
Date: /'p • / Permit Number: / 9 & 6.
RECEIVE®
Building Permit Applicatio JuN 7 2019
Planning and Development Services SCANN
Building and Code Regulation Division gy _ermlttlrlg Department
2300Virginia Avenue, Fort Pierce FC34982 St. Lucie ppig II�''..''��;I� COUrIt FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial POW.W yr
III PERMIT APPLICATION FOR: Aluminum without concrete III
II� PROPOSED IMPROVEMENT LOCATION:
Address: 7201 Mystic Way Port St Lucie, FL 34986
Legal Description: MYSTIC PINES AT THE RESERVE LOT 41
Property Tax ID #: 3322-620-0046-000-6
Site Plan Name: Daddino
Project Name: Daddino
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Install a 24' x 9' aluminum/screen enclosure.
Lot No. 41
Block No.
CONSTRUCTION INFORMATION`.
A itiona wor to e e orme un ert ispermd—c ec a apply:
In
❑HVAC LJ Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
❑Electric ❑ Plumbing []Sprinklers ❑ Generator ❑ Roof ❑ Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 4,640.00
SQ. Ft. of First Floor: _
Utilities: 0 Sewer []Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Frank Daddino
Name: Michael J Newman
Address: 7201 Mystic Way
Company: Pioneer Screen Co. Inc. II
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone No. 516-509-9740
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
it value or construction is Szsoo or more, a RECORDED Notice of Commencement is required.
i
11
SUPPLEMENTAL
CONSTRUCTION,LIEN
LAW INFORMATIONw
z
_�.
DESIGNER/ENGINEER: _ Not Applicable
pP
Name: De Kim a Associates
MORTGAGE COMPANY:
NY:
Name:
Not Applicable
Address: Po Box 10039
Address:
City_ Tampa State: FL
Zip:33679 Phoneal3-Bsr-ss55
City:
Zip: Phone -
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
Not Applicable
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, 1 do hereby agree that I will, in allrespects, 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 yyppu intend to obtain financing, consult wi lender or an�torney before
commencinork or record(nk your Notice of Commencement. //
Slgnat re of Owner Less a/Contractor as Agent for Owner
Signa re of Contra/Lice se Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF sentLuoe
COUNTY OF sam:woa
The forgoing instru ent w s acknowledged before me
The forgoing instrum nt was acknowledged before me
this �c�tay of
206 by
this day of ch,30 20-B 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 Identific
Type of Identification
Produced
Produced
(Signatur f Notary Public-S
(Signature o Notary Public-S
Commission No. GG227434
°W. Notary Public State of land
F (�6Hcene Newman
" My Commission GG 221434
° Notary Public State of Flori
Co mission No. GG227434 �ea*ne Newman
'S " p y Commission GG 221434
,,p•
p tto' Expires05/23/2022
�io,v�" Expires 05/23/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
(�
COMPLETED
Rev.8/2/17