HomeMy WebLinkAboutAPPLICATION (SCREEN)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
&NTWRIUR@
COUNTY
F t 0 R 1 r
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE:
PROPOSED INPROVEMENT LOCATION:
Permit Number:
Bulldng Permit Application
Commercial Residential x
Address: 18601 TRANQUILITY BASE LN PORT ST LUCIE FL
Property Tax ID #: 3215-801-0071-000-6 Lot No. 18
Site Plan Name: AERO ACRES BLK 3 Block No.
Project Name: FERNANDEZ
DETAILED DESCRIPTION OF WORK:
INSTALLING SCREEN ENCLOSURE
CONSTRUCTION INFORMATION:
`/y" X �2 ---?-' C'm 5
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:
Cost of Construction: $ I
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name SERGIO R FERNANDEZ & GARIELLE HACKETT
Name: MT( -DAFT NFIATMAN
Company: PIONEER SCREEN CO INC
Address: 6041 SW 8th CT
City: PLANTATION State: FL
Address: 1682 SW BILTMORE STREET
Zip Code: 33317 Fax:
City: PORT ST LUCIE State: FL
Phone No.
Zip Code: 34984 Fax:
E-Mail:
Phone No 772-340-4393
Fill in fee simple Title Holder on next page ( if different
E-Mail PIONEERSCREEN@MSN.COM
from the Owner listed above)
State or County License RX11066919
•ua..-1 o IMULI6C Vt \.vntmenGement is require0.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _
Name: [� Kirtil �--pc
Not Applicable
ic,,(L
MORTGAGE COMPANY: =--Not Applicable
Name:
Address: ( iCCU )9
Address:
City: I GLb�J1
State:_
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _
Name:
Address:
Not Applicable
BONDING COMPANY: L Nbt Applicable
Name:
Address:
City:
City:
Zip: Phone:
nlwlwlCe/rnerrnwrr.�n w�.-.... .....
Zip: Phone:
— vw i—iiii i—m 1 KAL i un Nrrfuvt i : 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 Coun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con;, Ict with any applicable Rome 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 buildin -permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structur s, 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 FO IMPROyEMENT� TO Y06R PROPERTY. A NOTICE OF COMM CtMENT MUST BE FECORDED AND
POSTED 011 THE JOB SITE EFORE THE FIRST INSPECTION, IF YOU IN ND -TO OBTAIN FI"NCING, CONSULT
WITH YOUR LENDER�OR A=0111 EY BEFORE RECORDING YOUR NOTME OF CnmmFNrrmrkfT-,r
Signature of
as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The fo�going instrumggnt[ ?s acknowledged before me
this- day of /v�„ �(' % 20%L,' by
Name of person making statement,
Personally Known OR Produced Identification
Type of Identification
Produced 4 t/7 L c �C
(Signature of Notary Public- State of F ri a,�4
'1 Commission NI' 12` aL Notary Public
o� j J N ems: Francene N
yy V_ e My commiss
°a8 Expires 05/2:
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DATE
RECEIVED
DATE
COMPLETED
Signature of
STATE OF FLORIDA
COUNTY OF
The forr4oing instrument was acknowledge, before me
this 7_2 day of ZO ! by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identificati 'n
Produced_
:(g �lotary Public- Sta a
s of Florida 11 �4pv pu, Notary Public State of
114U pion O.L% � 1 j eC,, 1� ncene Newman
R.:,S ,' commission GG 2
2 ' R aP Expires 05/23/2022
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