HomeMy WebLinkAboutGenssler ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
LC ,C-1LL.
" - Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Rolf Gennsler
PRtP{SEillti� CA'Cll fl2; �ifip�rCt
Address: 2602 NW Juniper Ct
Property Tax ID#: 4436-601-0037-000-4
Site Plan Name: Gennsler Residence
Project Name: Genssler Residence
Installation of Pool Screen Enclosure
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit– check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 68x21
Cost of Construction: $ 17100.00
_ Generator
Lot No. 37
Block No.
_ Windows/Doors _ Pond
Sq. Ft. of First Floor:
_ Roof Pitch
Utilities: —Sewer —Septic Building Height:
Name Rolf Genssler
Address: 2602 NW Juniper Court
City: Palm City State: _
Zip Code: 34990 Fax:
Phone No.
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Craig Rice
Company: Ploneer Screen LLC
Address: 3290 SE Slater Street
City: Stuart State: FL
Zip Code: 34997 Fax: 772-283-3028
Phone N0772-283-9197
E -Mail Bev@pioneerscreen.com
State or County LicenseSCC046064
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
if value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:_
Address:
City: _
Zip:
State:
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 permit 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 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
*Jth lender pr an attorney before commencing work or recording your Notice of Commencement.
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Sign urewner/ Lessee/Contractor as Agent for Owner
Signature of tract r/License Holder
STATE FLORIDA + -
STATE OF FLORIDA
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Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
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Physical Presence or Online Notarization
5�'fday 2020 by
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Name of per making statement.
Name of per'sQn making statement.
Personally Known >-,� OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produced
Pro ced
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DATE
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DATE
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Rev. 5/6/20