HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 3b 1�� �1 Permit Num er:
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BY JUL 3 0 reiq
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BU1l�111g ermlt Applicatio ST. Lucie County, Pern
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 with concrete II
PROPOSED IMPROVEMENT LOCATION:
Address: 7913 Plantation Lakes Dr Port St Lucie, FL 34986
Legal Description: RESERVE PLANTATION PHASE I LOT 63
Property Tax ID #: 3321-801-0063-000-3
Site Plan Name: Schaal
Project Name: Schaal
Setbacks Front Back: q rJ f Right Sider Left Side:
.y
Lot No. 63
Block No.
Form and pour concrete slab with 8" x 8" footers and install a 37' x 15' aluminum/screen enclosure.
MuwuVpaI wUin w ue en onneu unael TIM Pt! FIT] a—Lne[;x all apply:
In
11 Gas Tank E]GasPi. - _Shutters Windows/Doors
11 Electric 0 Plumbing ❑Sprinklers 1:1 Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 15,350.00 utilities:cnSewer 1:1 Septic Building Height:
0 W N ER/LESSEE:
CONTRACTOR:
Name George and Erica Schaal
Name: Michael J Newman
Address:24 Birchwood Ct
Company: Pioneer Screen Co. Inc. II
City: Middlesex State: NJ
Zip Code: 08846 Fax:
Phone No. 908-285-1861
Address: 1682 SW Biltmore St
City: Port St Lucie State. FL
Zip Code: 34984 Fax: 772-340-4626
Phone No. 772-3404393
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 at construction is ,.Z!)uu or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY:
✓ Not Applicable
Name: Do Kw &Associates
Name:
Address: Po Box 10039
Address:
City: Tampa
State: FL
City:
State:
Zip: 33579 Phonea13-w-9955
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _
Not Applicable
BONDING COMPANY:
1 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 Notice of Commencement must be recorded and posted on the jobsite
before the flot inspection. If ybyrintend to obtain financing, consult with lender Q9n attorney before
commenci work or record" vour Notice of Commencement.
Signattke of Owner/ essee/Co tractor as Agent for Owner
S gn fure of CohAfactor/Llilense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFsaimi-e°a
COUNTY OF9aiauaoe
The f rgoing instruroenLwas acknowledged before me
The forgoing instrument wal acknowledged before me
this day of20_ by
this 1(,g—day of20_ by
((11
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 IdentifR ion
Type of Identif atio
-Produced
Produced
(Signatu a of Notary Pu lic-State of Florida)
(Signal re of Notary Public-S
Commission NO. GG221434 0 ry Public S ate of Flo
11
t�, N
aC0 ISsIOn NO. GG221434 y °ta�r yy�Public State of Flo tl
RSBtlEne Newman
Francene Newman
;My Commission GG 22143
My Commission GG 221434
Expires 05/23/2022
9+q M1o'� Expires 0523/2022
M1o�
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MANGROVE
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DATE
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DATE
COMPLETED
Rev.8/2/17