HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST 6c7, iMPLETED FOR APPLICATION TO BE ACCc�r CCF-
Date: '-NO' 19 OC/ SCANNED Permit Number
vl/ BY
St. Lucie Count%,
Building Permit Application
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
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RECEIVED
OCT 3 0 2019
sT. Lucie County, Permitting
Residential x
PERMIT APPLICATION FOR: Aluminum without concrete III
PROPOSED IMPROVEMENT LOCATION: I
Address: 5615 Pinetree Dr Fort Pierce, FL 34982
Legal Description: Indian River Estates - Unit 02 - Bik 9 - Lots 26, 27 and 28
Property Tax ID #: 3402-603-0075-0000
Site Plan Name: Gray Residence
Project Name:
Setbacks Front (35 r-i- Back: 124 •H'i Right Side: rl?.3 r LeftSide: M •3 Z
Lot No.26,27,28
Block No.
DETAILED DESCRIPTION OF WORK: 111
Install an aluminum/screen pool enclosure 37'5 x 25' on slab by pool company.
CONSTRUCTION INFORMATION:
Additional work to e e orme under tispermit—checka apply:
❑HVAC E] Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
❑Electric ❑ Plumbing []Sprinklers❑ Generator ❑ Roof ❑ Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 9,308.00
S�Ftj. of First Floor:
Utilities: Ft of
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Robert & Michelle /Gray
Name: Michael J Newman
Address: 5615 Pinetree Dr
Company: Pioneer Screen Co. Inc. II
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No.332.7500
Address: 1682 SW Biltmore St
City: Port Saint 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: RX11066919
It value of con uction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CON
ON LIEN LAW INFORMATIO
DESIGNER/ENGINEER:
N a m e: Do Kim & Associates
Address: PO Box 10039
City: Tampa State: FL
Zip: 3.1982 Phone 313.857.995s
FEE SIMPLE TITLE HOLDER: -5/ Not Applicable
Name:
Address:
Zip
MORTGAGE COMPANY: ✓ Not Applicable
Name:
Address:
City: State:
Zip: Phone:_
BONDING COMPANY: t/ Not Applicable
Name:
Address:
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 firsWspection. If y7 intend to obtain financing, consult witj)ender or an ayorney before
as Agent for Owner
STATE OF FLORIDA ,—% L LLC,
COUNTY OF
The forgoing instrument was acknowledged before me
this t day of _ DCA obey 20 _%q by
M;chaa :.
Name of personking statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public -State of Flo RE
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Commission No. GCS oa3t'1'�'1 - MY COMMISS
EXPIRES Nnc
REVIEWS I CFRONT ZONING
O NTER I REVIEW I S REVIEWOR
Rev.8/2/17
STATE OF FLORIDA L r
COUNTY OF
The forgoing instrument was acknowledged before me
this_]_(, day of dr+() h e1' . 20 0 by
K i c_hae 1 J- I CLt) vro-r,%
Name of perso9 making statement
Personally Known ✓✓ OR Produced Identification
Type of Identification
Produced
3. I,'d
of Notan/ Public- Statc
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PLANS � ,€VI W VEGETATION EVI WI SEA REVIEW I MANGROVE