HomeMy WebLinkAboutBUILDING PERMIT APPLICATONALLAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED SCANNED Permit Number:
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E�,°Oil�$t/ ECEIVED
Building Permit Applicat , JUL 3 0 ?p)g
Planning and Development Services T. Lucie County, Pern
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
FAR PO-SMIMPROVEMENT L_DCATION. s
Address: 3300 Bent Pine Dr Fort Pierce, FL 34951
Legal Description: MONTE CARLO COUNTRY CLUB UNIT ONE LOT 278
Property Tax ID #: 1327-801-0084-000-8 Lot No. 278
Site Plan Name: Darling Block No.
Project Name: Darling
Setbacks Front Back: 33 , Right Side: Z6 LeftSide: 3g y
Install a 49' x 23' aluminum/screen pool enclosure on slab by pool company.
C-'STR[}GTION INF,.ORfVIAFION
UHVAC I IGasTank.
11 Electric El Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 10,767.30
Piping LJ Shutters
nklers 11 Generator
S Ft. of First Floor: _
Utilities: Sewer 1:1 Septic
❑Windows/Doors
11 Roof = Roof pitch
Building Height:
QWNEIVLESSEE:
CONTRACTOR -
Name Daniel Darling
Name: Michael J Newman
Address:3300 Bent Pine Dr
Company: Pioneer Screen Co. Inc. II
City: Fort Pierce State: FL'
Zip Code: 34951 Fax:.
Phone No. 878-7752
Address: 1682 SW Biltmore St
City:. Port St Lucie State: FL
Zip Code: 34964' 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: ploneerscreen@msn.com
State or County License: RX11066919
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION
d -
LIEN LAW INFORMATION
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DESIGNER/ENGINEER: _Not Applicable
MORTGAGE COMPANY: ✓ Not Applicable
Na me: Op wm a Associates
Name:
Ad d ress: PO Box 10039
-
Address:
City: Tampa State: FL
City: State:
Zip: 33679 Phone 8 -8w-9955
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: i 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 first inspection. If ou intend to obtain financing, consult with lender or a attorney before
comm in rk or recor our Notice of Commencement.
Signatur of Owner/ resseeontractor as Agent for Owner
SIgnatur6 of Contractr/Lic se Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Saint Lu ie
COUNTY OF 6aiat Woe
The forgoing instrurr e_nt as acknowledged before me
this o/a-day of U � 20 by
The forgoing instrument was acknowledged before me
this � of � t 4, 20_6 by
���""�"
Michael J Newman
NUchael J Newman
Name of person making statement
Personally Known ✓ OR Produced Identification
Name of person making statement
Personally Known ✓ OR Produced Identification
Type of Identif tion
Type of Identification
Produced
Produced
(Signa re of Notary Pu Ic- State of Florida)
(Signature f Notary Pub
Commission NO. GG221434 �utr ar,-(Se��tary public State of Flndao
Francene Newman'MY
My Commission GG 221
'70, M1o� Expires 05/
¢pv°1 P Notary Public State of Florida
Is510n NO. GG2214 FfanC�feall?wman
commission GG 221¢34
gano� Expires 05/2312022
REVIEWS
FRONT
ZONING
SUPERVISOR
-"AS VEGETATION SEA TURTLE MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17