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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEb
Date: Permit Number: Cuco,
1'' RECEIVED
Building Permit Application
Planning and Development Services Permitting Department
St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XXXXxxx
PERMITTYPE:
P�tC}PnSEO t1UIPR0\IM,ENT E7CAT[t)1``
w.
Address: 1518 NW Sweetbay Circle
Property Tax ID #. 4426-803-0045-000-2
Site Plan Name: Smoak Residence
Project Name: Smoak Residence
Installation of Pool Screen Enclosure
Lot No.
Block No.
C0N5RU�GT3tON INFC}FtMATIQN" a; A ; o�3
1 A.,. ,, w - .,.,moo.. ». .... ve s_ ,.�M. .•.»e.�. ., �,..,r X. ..�., c� '3 x':E Y.
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: $ 21,990.00 Utilities: _ Sewer _ Septic Building Height:
YY E7Li:E VILE
a-.
Ct7fTRACTOR_ y ... .
Name Stephen Smoak
Name:Craig Rice
Address:1518 NW Sweetbay Circle
Company: Pioner Screen LLC
City: Palm City State: _
Zip Code: 34990 Fax:
Phone No.
Address:3290 SE Slater Street
City: Stuart I State: A
Zip Code: 34997 Fax: 772-283-3028
Phone No772-283-9197 Ext.107
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Bev@pioneerscreen.com
State or County LicenseSCC046064
it value of construction is sz5Uu or more, a RECURRED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name:_
Address:
City:
Zip:
Phone
State
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State: _
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 permmit 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 concurreney 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND T� OBTAIN FINANCING, CONSULT
W)(T)H YOUg LENDfp-QR AN ATTORNEY BEFORE RECORDING YQUR NOTICE Of COMMENCEMENT."
ature of(Ojwner/ Lessee/Contractor as Agent for Owner
STATE OF FL (�
COUNTY OF �1 h'
The f r ing instr ment was acknowled ed before me
thisday of 2W by
We
Name of pe n making statement.
Personally Known IV_ -,*"OR Produced Identification
Type of Identificatign
Signature of Contractor/License Holder
STATE OF FLOC,
COUNTY OF 11 I II�y1
The i fgoin instr ent as acknowledgeefore me
this day of 20by
C 9 e
i �
Name of persoWnaking statement.
Personally Known OR Produced Identification
Type of Identification ,
(Signature of Notary
-
(Signature of Not
e.h
.HADDAD
MY COMM�IS,,SIIIQN # GG 009363
"'
, 5� ?:B I LEV L. HADDAD
�"
Commission No.
EXPI Ouly 6,2020
Commission No.
'�� � MY coI0 �4I",5(�sL#DM� 009363
Bonded Thru Notary Public Underwriters
= a :oec EXPIRES: July 6, 2020
%:FOF FCgQ' Bonder' Thm Notary Public Underwriters
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