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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q Date: ���T45, Permit Number: �X ''� y' 0 ECEIVED I' ' C I 0 2 I Building Permit Applicati 9Planning Cn and Development Services County, Permitting Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxxxxxx PERMITTYPE: R04\ So1eQr\ vac\oSoP� FROPOSE,I3#f PRfJMM.It[U3t7/�TI?N.` Address: 1321 NW Lancewood Terrace Property Tax ID #: 4426-804-0021-000-1 Lot No. Site Plan Name: Donna & Roanld Reffitt Block No. Project Name: Reffitt Residence EZR1F i "TE CR?P` 30, OFWO -W; 4 � t '. .. t f F ", .-�. �.'. � + f w4kb n. E :'Y$c_ _ `P $ • "m . .7. !"�f „^'� Removal of Existing Pool Screen Enclosure and Replacement of Pool Screen Enclosure! a e. �3. �.+ $N. 2 "at'^d' pi¢� -an .e .: C0f5TRCTIONt�NI O�2MAT1©N' ^ t - a 'e. a.. 7 Y s.e,w-u.,es. PnC,A YP' kr t ...d"wd`... .. v'$,vs�LS'o f i ...., . .. ..., .,. ,.. t 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: $ 7990.00 Utilities: _Sewer _Septic Building Height: �g 4r ti fi ' T tr. n1 W AQRf g , .. �.... ,. t.+..i .,..... a. ....., ....i ...m,..r Name Ronald Reffitt Name: Craig Rice Address:1321 NW Lancew000d Terrace Company: Pioneer Screen LLC City: Palm City State: _ Address.3290 SE Slater Street City: Stuart State: FL Zip Code:34990 Fax: Phone No.231-499-5042 Zip Code: 32997 Fax: 772-283-3028 E-Mail: Phone N0772-283-9197 ext. 107 Fill in fee simple Title Holder on next page ( if different E-Mail Bev@pioneer Screen LLC State or County LicenseSCC046064 from the Owner listed above) 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 CpNSTRGCTION,LIEN`r'tAUVI�IFQRMATiQN+ ' �' DESIGNER/ENGINEER: _ Name: Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: Address: City: Zip: Phone State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: _ Name: Not Applicable 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 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 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)-ENDFR OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." 441 gnature o wn r/ Lessee/Contractor as Agent for Owner Signature f ntra for/License Holder STATE OF FLO A STATE OF F4OQ� COUNTY OF COUNTY OFL1� C The oing instru ent was cknowledged before me this day of V 2¢ by The f ing ins tru%'�1 t was aSknowledged before me this day of � 20� by sC}L. In \MAXI W�.i� Name of pertjn making statement. Name of pAsIbn making statement. OR Personally Known � OR Produced Identification Personally Known Produced Identification Type of Identification Type of Identification P oduc Produced (Signature of Notar (Signature of Notary '"q•'�`_ BEV L. HADDAD ;z"�'":elh,, BEV L. HADDAD Commission No. ? . MY COMMI�SM0 GG 009363 Commission No. ;,5 MY CDA1 N#GG 009363 . - l� EXPIRES: July 6, 2020 f7g •o= EX IRES: July 6, 2020 b.Foi; ""oddC4P`Bonded Thor Notary Public UndeWtars fig: °Bonded Thru Notary Public Underwriters REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.