HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n
Date: j S(;ANNM Permit Number: Alp
O
St. Lucie B County
Building Permit Application
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 Residential X
PERMIT APPLICATION FOR: Aluminum without concrete III
Address: 5620 Dunn Rd Port St Lucie, FL 34983
Legal Description: DUNN ROAD ESTATES S/D LOT 6
Property Tax ID #: 3403-702-0007-000-0
Site Plan Name: Testa
Project Name: Testa
Setbacks Front Back:
Right Side: '65.5 LeftSide: $( ,
Lot No. 6
Block No.
DETAILED DESCRIPTION OF WORK: III
Install a ' aluminum/screen pool enclosure on slab by pool company.
CONSTRUCTION INFORMATION:
11HVAC L1 Gas Tank
11 Electric El Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 11,910.00
Jcnu IL—u ICU&au Shuappry.
casPiping _tters ❑Windows/Doors
Sprinklers Generator Roof Roof pitch
S Ft. of First Floor:
Utilities Sewer Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Nicholas Testa
Name: Michael J Newman
Address: 5411 NW Milner Dr
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: 772-340-4626
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 of construction is 52500 or more, a RECORDED Notice of Commencement is required.
Not App
Name: Do KIM S Associates
Address: PO Box 10039
City: Tampa State: F
Zip: 33679 Phone 613-a57-9955
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Zip:
MORTGAGE COMPANY: ✓ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Not Applicable I BONDING COMPANY:
Address:
Zip:
Applicable
vvvlvGny a.v1v i rcAL1 LJK Att•Iuv11: 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 Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlictwith 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 prope ttyy�� Notice of Commencement must be recorded and ted on the jobsite
before the firs spedion. Ifu7intend to obtain financing, consult yullender or r attorney before
Co/ftmencin rk or re -cord Our Notirp of Cnmmpnrs nt
]Signoure LofCont
Signat re of Owner/ essee Contractor as Agent for Owner
ctor/L tense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF saint Wde
COUNTY OF Saint t aue
The for oing instrumecjwas acknowledged before me
The forgoing instrument was acknowledged before me
this day of ) U In n 20� by
this day of . ) (Ajd1'_ 20J' 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 do
Type of Identificati
P oduced
Produced
(Signatur of Notary Publ'
(Signatur of Notary Public- t f 1 rill
Note Puplic State of Florida
Commission No. GG221434 Fra(2@i1U Newman
�� t Public State o! Florio
Commission No. GG221434 yp � ���
2 My Commission GG 221434
Expires 05/23/2022
ne Newman
,gyp• MY Commission GG 221434
�q M� Expires 05/23/2022
REVIEWS
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ZONING
SUPERVISOR
PLANS
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MANGROVE
COUNTER
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17