HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONA
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:N6�"� }1 1 Permit Number: NO (j3rnin
— -- — - SCANNED
Building Permit Application BY
Planning and Development Services St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
III PERMIT APPLICATION FOR: Aluminum without concrete I
PROP,OSEDIMPROVEMENI LULAIIUN:,,- 1
Address: 5407 South Indian River or Fort Pierce, FL 34982
Legal Description: PLAT of S 614.21 it of Govt Lot 1 - Sec 1-36-40 N 100 It of S 514.11 ft Lyg E of FEC RR and that PA
Property Tax ID #: 3401-604-0002-000-8
Site Plan Name: Maldonado
Project Name:
Setbacks Front Back: 3f51 Right Side:' 47.5' Left Side: 32.61
Lot No.1
Block No.
'DETAILED DESCRIPTION OF WORK: I , • III
Install an aluminum/screen pool enclosure aq k 57'on slab by pool company.
At
CONSTRUCTION INFORMATION:
Additional work to e e oFined
me under tispermit—checka apply:
11HVAC Gas Tank E]GasPiping In _Shutters ❑Windows/Doors
_ E]Electric 0 Plumbing ❑Sprinklers Generator 0 Roof
Total Sq. Ft of Construction: _
Cost of Construction: $ 11,600.00
S Ft. of First Floor: _
Utilities: Sewer E]Septic
Building Height:
C/
OWNER/LESSEE:
CONTRACTOR:
Name Segundo Maldonado
Name: Michael J Newman
Address: 5407 S Indian River Dr
Company: Pioneer Screen Co. Inc. II
City: Fort Pierce State: FL
Zip Code: -34982 Fax:
Phone No.917-682.9809
Address: 1682 SW Biltmore St
City: Port Saint Lucie State: FL
Zip Code: 349W Fax: 772.340.4626
Phone No. 772.346.4393
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: pioneerscreeh@msn.com
State or County License: RX11066919
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
✓.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name: DcKimBAaaociates
MORTGAGE COMPANY: Not Applicable
Name:
Address: PO Boa ID039
Address:
City: Tampa State: FL
Zip: 33679 Phone: 813.857.9955
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 post ; on the jobsite
before the fiyyo�t inspection. If )//ppu intend to obtain financing, consult ty h lender or an a drney before
commencin6'work or recordfle vour Notice of Commencement. // J /
STATE OF FLORIDA
COUNTY OF saaiwde
The fo�r,ggqq��ng instrument was acknowled ed before me
this { 1`dayof pc+obey 20 r4 by
vj'
Signature
STATE OF FLORIDA
COUNTY OF samiwcaa
The forgoing instrument was acknowledged before me
this I I "'day of 0C-+06ea- ,200:11by
Michael J Newman I Michael J Newman
(Name of person acknowledging) (Name of person acknowledging)
qJa4,2. S.
(Signature of Not t
Public-State of Florida) (Signature of Notak Public -State orFlorida )
Personally Known Yes OR Produced Identification Personally Known Yes OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. EE830250
Revised 07/15/2014
YS
EXPIRES November 03,2016
mission No.
S WALLACE
90IR€111 November 03, 2016
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