HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUS'1T BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: / 0 `
(• I "/I. SCANNED Permit Number:
"i St. Luce County
Building Permit Appli ation OCT 9 2019
Planning and Development services Permitting Department
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772)-462=1578 Commercial— -
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 5713 Seagrape Dr Fort Pierce, FL 34982
Property Tax ID #: 3405-609-0027-000-7
Site Plan Name: Hirsch
Project Name:
I' DETAILED DESCRIPTION OF WORK:
Install an aluminum/screen pool enclosure 42' x 36'6" on slab by po(
0,9 ip L Dfrrm
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing _Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
uc'l
Cost of Construction:$ j(� Gyl Utilities: _Sewer _Septic
Lot No.34
Block No. 21
D•
—Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameLisa Hirsch
Name:Michael J Newman
Address:960 SW /Grand Reserve Blvd
Company* Pioneer Screen /Co. Inc. II
City: Port Saint Lucie State: _
Zip Code: 34986 Fax:
Phone No.626.3176
Address:1682 SW Biltmore St
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 340.4626
Phone N0340.4393
E-Mail:dk@dokimengineedng.net
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
n value or construction is $z:)uu or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Do Km a Assomites
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: PO Box 10037
Address:
City: Tampa State: FL
Zip: 33679 Phone
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 COP
TWICE FOR IM ROVEMENTS TO YOUR PROPERTY. A NOTICE OF
POSTED ON;IE JOB SITE Ell THE FIRST INSPECTION. IF Y(
as Agent for Owner
STATE OF FLORIDA
COUNTY OF '5V • L-Lcif-
The for oing instrument was acknowledged before me
this. day of 20 1 by
Name o person ma king statement.
Personally Known ✓ OR Produced Identification
Type of Identification
REVIEWS
MICaLTICI
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IIT MAY RESULT IN YOUR PAYING
EMENT MUST BE RECORDED AND
TO OV7AIN FINANCING, CONSULT
OF
STATE OF FLORIDA
COUNTY OF Sk
Holder
DAGIC.
The forgoing instrument was acknowledged before me
this `a_�_ day of s 20 15 by
�1 Ci`LLei �� G.JYY�R.1"'
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of
HEVERLYS WALLACE MY COMMISSION # GC9,gy 7 Commission d MY COMMISSION 4 3777
-eXPIRE� member 03, 2020 '%p,-�•,r EXPIRES November 03, 2020
FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW__r REVIEW