HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
SCANNIt® Permit Number: 1g0B'054`1
BY
St. Lucie County RECEIVED
Building Permit Application
Planning and Development Services AIII, 27 1019
Building and Code Regulation Division permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Aluminum without concrete III
PROPOSED IMPROVEMENT LOCATION: III
Address: 5278 Oakland Lake Cir Fort Pierce, FL 34951
Legal Description: OAKLAND LAKE ESTATES LOT 26
Property Tax ID #: 1311-800-0039-000-6
Site Plan Name: Black
Project Name: Black
Lot No.26
Block No.
Setbacks Front IJ A Back: H-0r Right Side: 32.5r Left Side: /0'57 II
DETAILED DESCRIPTION OF WORK:
Install a 18' x 8' aluminum/screen enclosure on existing deck and install a Tx 4' front entry.
L CONSTRUCTION INFORMATION: III
VIIOI VVVIp W uc c11U11[ICU UIIUo UnD Flo um—u
HVAC Gas Tank ❑Gas Piping
Electric Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 3,240.00
appiy:
Shutters ❑ Windows/Doors
Generator Roof
S Ft. of First Floor: _
UtilitiesliSewer Septic
Building Height:
Roof pitch
OWNER/LESSEE:
CONTRACTOR:
Name Errol Antonio Black
Name: Michael J Newman
Address: 5278 Oakland Lake Cir
Company: Pioneer Screen Co. Inc. II
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No, 954-385-0721
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: F:X11066919
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION
LIEN LAW INFORMATION
, i
DESIGNER/ENGINEER: _
Name: Do Ken & A99eaate9
Not Applicable
MORTGAGE COMPANY:
Name:
✓ Not Applicable
Address: PO Box 10039
Address:
City: Tampa
Zip: 33679 Phone9134157-9955
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _
Name:
Not Applicable
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 cunsuit 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 1 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 ' spection. If ou intend to obtain financing, consult with lender or an a orney before
commencin rk or recor our Notice of Commencement.
c2Z�
Signat a of Owner Lesse Contractoras Agent for Owner
Signature f Contractoril"Licensit Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF smueee
COUNTY OF saint L-d-
The fqr ing instru ent was acknowledged efore me
this day of�C�GL3i 20 by
The for ing instru ent was acknowledged before me
this_Idayof 20 by
Michael J Newman
Michael J Newman
Name of person making statement
Personally Known ✓ OR Produced Identification
Name of person making statement
Personally Known ✓ OR Produced Identification
Type of Identificat' n
Type of Identifi ion
Pro uced
Produced
(Signature Notary Public- St`a"^ Pa•
atu a of Notary Public -State of Florida )
fe: . arc State of Flon
Commission No. GG221434 yied'i- Newman
omm scion GG 2214
U5122022
E✓`k'h'
a
Co ission No. GG2214 o �c
Notary PUS ete of Floritleplr25
Ffa00an9 Newman y P. My Commission GG 221434
'? p� Expires 05Y231
REVIEWS
FRONT ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17