HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �� �3 2.6 Permit Number: a a d 3 d 3 rJ1
-7
=ECEIVPED
Building Permit ApplicatPlanning and Development5ervices
Building and Code Regulation Division e yy-,�a
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT TYPE: REMOVE/DISPOSAL OF EXISTING SCREEN POOL ENCLOSURE
PROPOSED IMPROVEMENT LOCATION: ;
Address: 18704 KITTY HAWK CT
Property Tax ID#: 3215-801-0031-000-4 Lot No. 2
Site Plan Name: BEERS Block No. 2
Project Name: BEERS-PLAN A-REMOVAL
DETAILED DESCRIPTION;OF;WORKl
REMOVE&DISPOSAL OF EXISTING POOL SCREEN ENCLOSURE
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq.Ft of First Floor:
Cost of Construction:$QQQ ,DC) Utilities: _Sewer _Septic Building Height:.'OWNER/LESSEE:-CONTRACTOR:.
Name JUNE BEERS Name: RYAN C GAYLORD
Address:18704 KITTY HAWK CT Company-PREMIER CONSTRUCTION SPECIALITIES,INC
City: PORT ST LUCIE State:_ Address:3404 SE 3RD COURT
Zip Code: 34987 Fax: City: BOYNTON BEACH State:FL
Phone No.772-595-3016 Zip Code: 33435 Fax:
E-Mail: Phone No 561-574-7802
Fill in fee simple Title Holder on next page(if different E-Mail KIM4SONNYSCREENS@GMAIL.COM
from the Owner listed above) State or County License CGC-1517640
If value of construction is$2500 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,UEN LAW INFORMATION
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name:EVM M0VEDY ENGMBUUNG Name:
Address: Address:
City: boca raMn State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: 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 Assocjation 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 COMMM"IlENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY- A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SIITE BEFORE THE FIRST INSPECTIION. W YOU MFEIvD To OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDHVG YOUR NOTICE OF COMMENCEMENT:"
Signa#e of Owner/Lessee/Contractor as Agent for Owner Si ature 6f Co o 'cense Holder
-STATE OF FLORIPA STATE OF FLORIDA
COUNTY OF (-&Irn Garin COUNTY OF Palm Peach.
The forgoing instrument was acknowledged before me The for -going instrument was acknowledged before me
this LVk-day of_d0.rrk 202p by this
_q!-day of rgnk ,20.10 by
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,une, CIQL'41001
Name of person making statement Name of person making statement
Personally Known OR Produced Identification v**' Personally Known OR Produced Identification V_
Type of Identification Type of Identification
Produced PC T>L- Produced FL—, nt.,
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(Signaturof Notary Public-State of Notary Public-state sr re bf Notary Public-State of I CHRISTOPHER FOS TE
COMM'5510n#GG 56241
Notary Public-State o I F F rida
Commission#GG 9!6 7
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Commission No. rro MY COMM.Expires F &;Aifffin ion No.a,-)95!r C
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
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