HomeMy WebLinkAboutBuilding Permit ApplicationAll OPLIaBLE INFO MUST BE COMPL..�d FOR APPUCATION TO BE AC Emw
Date: 31 \ b'a a Permit Number: aad3'o355
-- Building Permit Applicatio RECEIVED
Planning and Development5ervices MAR 13 2020
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST, Lucie County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residen la
PERMITTYPE: INSTALL SCREEN POOL ENCLOSURE
PROPOSED IMPROVEMENT LOCATION:
Address: 18704 KITTY HAWK CT
Property Tax ID it: 3215-801-0031-000-4
Site Plan Name. BEERS
Project Name: BEERS - PLAN A
DETAILED DESCRIPTION OF WORK:
Lot No. 2
Block No. 2
Install NEW pool screen enclosure & install NEW Elite 3" poly roof system on exisiting concrete footers/slab
1 CONSTRUCTION INFORMATION: _ 1
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. FIL of First Floor:_
Cost of Construction: $ 23,77ke.00 Utilities: _Sewer _Septic
Windows/Doors
Roof
Building Height:
Pitch
OWNERAESSEE:
CONTRACTOR`.
Name JUNE BEERS
Name: RYAN C GAYLORD
Address:18704 KITTY HAWK CT
Company- PREMIER CONSTRUCTION SPECIALITIES, INC
City: PORT ST LUCIE State: _
Zip Code: 34987 Fax:
Phone No.772-595-3016
Address: SE 3RD COURT
City: BOYNTON BEACH State: FL
Zip Code: 33435 Fax:
Phone No 561-574-7802
E-Mail:
Fill in fee simple Title Holder on next page ( ff different
from the Owner listed above)
E-Mail KIM4SONNYSCREENS a@GMAIL.COM
State or County License CGC-1517640
It value of construction is $5ZWU 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.
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SUPPLEMENTAL CONSTRUCTI UEN,LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name• EyaNmmmyENGNml m
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: bo-� State:
Zip: 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 AFFIDVTT: 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 permili vAl authorize the permit holderto 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 1 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 FAR-URE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTHF OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE HHE FRTST ItLSPECIfON. F YOU INTEND TO OBTAIN FINA11 ONG, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RBCORDING YOUR NOTICE OE WMMENCEMENT."
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Signal:46 of Owner/ Lessee/Contractor as Agent for Owner
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STATE OF FLORIDA
STATE OF FLORIDQ
COUNTY OF Palm P,eacl,
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The for"aing instrument was acknowledged before me
this a day of rlarcl� 20alQ by
this U day of r'la rc�n 2000 by
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Name of person making statement
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Personalty Known OR Produced Identification ✓
Type of Identification
Type of Identification
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