HomeMy WebLinkAboutBuilding Permit Application--1
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number: ON- I A
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Building Permit Application o
Commercial Residential x
PERMITTVPE:SCREEN ENCLOSURE
PROPt)SED)tVlPf30VE,NI,EN%'LOGA"[ION` !4�
Address: 1416 LONE PINE DR. FT. PIERCE FL.
Property Tax ID #: 3409-505-0016-000-9
Site Plan Name: LONE PINE SUBDIVISION
Project Name:
Lot No. 11
Block No.
INSTALL ANEW 10 Fr X 21 FT X 9 FT 6" HIGH SCREEN ROOM ON THE EXISTING CEMENT DECK SUPPLIED BY HOME BUILDER.
HOME BUILDER IS GEM BUILDERS. ALL SCREEN ROOF AND ALL SCREEN WALLS.
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: 210.00
Cost of Construction: $ 3965.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER%LESSEE:
t:ONTRACFOR:
Name DENNIS PASSMAN
Name:VAUGHN HOSKINS
Address:1416 LONE PINE DR.
Company:V H EXTERIORS INC
City: FT. PIERCE State: _
Zip Code: 34981 Fax:
Phone No.
Address:543 NW WAVERLY CIR.
City: PORT ST. LUCIE State: FL.
Zip Code: 34983 Fax: 772-8712-2567
Phone N0772-871-6484
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail VHEXTERIORSINC@GMAIL.COM
State or County License21579
it value or construction Is yZ5uu 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.
SUPPLEMENTrAL CONSTiRUCiiION LIEN LAW tNFORMApTiQN�
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DESIGNER/ENGINEER: _ Not Applicable
Name: FLORIDA ALUMINUM ENGINEERING INC
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:WO MARINER ST. SURE 110
Address:
City: TAMPA State: FL
Zip: 33609 Phone613374-2403
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
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 Association rules, bylaws or anU 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of O r/ Lessee/co—ntratt6r as Agent for Owner
Signature of o tractor Ic older
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST LUCIE
COUNTY OF ST. LUCIE
The forinstrument was acknowledged before me
The forgoing instrument was acknowledged before
me
this-li day of Il 201d by
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this �3 day of "J li 20Zo by
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Name of person making statement.
Name of person making statement.
Personally Know OR Produced Identifica ' n
Personally Known OR Produced Identifica
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Type of Identification
Type of Identification
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Produced
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