HomeMy WebLinkAboutBuilding permit ApplicationAll APPLICA E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
�iCUL9~ 'I
` Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XXXXXXXXX
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Brent & Jennifer Allen I
Address: 9509 S. Indian River Drive
Property Tax ID #: 3519-444-0002-000-0
Site Plan Name: Brent & Jennifer Allen
Project Name: Allen Residence
Installation of Aluminum Insulated Roof and Screen Walls
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit— check all that apply:
Mechanical
_ Electric
_ Gas Tank
Total Sq. Ft of Construction:
Cost of Construction: $ 7250.00
Name ennifer Allen
Address:9509 S. Indina River Drive
Gas Piping
_ Sprinklers
Lot No.
_ Shutters — Windows/Doors _ Pond
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No.561-662-9551
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Craig Rice
Company: Pioneer Screen LLC
Address:329*0 SE Slater Strteet
City: Stuart State: FL
Zip Code: 34997 Fax: 772-283-3028
Phone N0772-283-9197
E-Mail Bev@pioneerscreen.com
State or County LicenseSCC046064
it value of construction is z500 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.
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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
cie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
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'th lender or an attorney before commencing work or recording our Notice of Commencement.
g atur f Owner/ Lessee/Contractor as Agent for Owner
ignature Contractor/License Holder
C7
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF / , �
COUNTY OF `j2J,r 2
Swor to (or affirmed) and subscribed before me of
Swo o (or affirmed) and subscribed before me of
v Physical Presence or Online Notarization
—Physical Presence or Online Notarization
this-` day of 2020 by
thi ay of 2020 by
ckaA2"
Name of p r on making statement.
Name of pe n making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type o entification
Type of entification
Pro c _ ,
Prod c
( ignature of Not 'd
(ignature of ii Iic- sm
llotary
t►Ar • BARBARA S RIZZ07JFIornida
?�' r`; Notary Public
Commission No. ry 5�b(
�
lic -State of Florida
+� ` Commission N GG 93Qq
Commission �o
�. mmission GG 93
'for rv,. ' My Comm. Expires Nov
My 6emm—'expires Nov / 20al)
Bonded through National Notary Assn.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
3290 SE Slater Street est. NJ 1980
Contract not valid until LiC# SCC046064
*
Stuart, FL 34997 Guarantee
Martin: (772) 283-9197 Psigned by an officer State Certified
Palm Beach: (561) 575-0033 on Back of Pioneer Screen LLC
Fax: (772) 283-3028 sCREEN ` L L c
CLIENT J QNi'"'� �^/f ep•^' HOME t 402 ft� MOBILE DATE
KAAn u.Ir_ Annacec i ! �.19%�Ycn �n e�����' /� 2 EMAIL
CITY STATE ZIP CODE
INSTALLATION ADDRESS
CITY STATE ZIP CODE
Projected start date 3-4 weeks, after permit and assocaition approval, if needed. Weather may delay start and finish dates.
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Screen Color: Charco
Mesh Type: 18x14 fJJZR 20x30
Flat Gable FL Room
►tin Mansard A -frame
Beam S Type: P4 C Uoriahts: �� `A
g�
Overhang_ Wall Height:
Aluminum Roof: Insulated Non Insulated
Doors: 'T 4 r4dK 5 G W .3 � •
Florida Glass:
Chair Rail
32
Kickplate: 16" 24" 36"
Gutters: 5" 7"
Frame Color - (, )'k
Permit #• t 6
Subdivision:
HOA• T-6p Gate Code:
5('6 12 a.�c,un '
Concrete Yes AD
Contract not valid until signed by owner.
This proposal may be withdrawn by us if not accepted within 30 days.
INITIAL DESIGN LAYOUT
Tear -Out? ❑ Yes ❑ No Ready to Measure? ❑ Yes ❑ No
t New I .�
Pl Y
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NSiall SG�Q� c,,a t t; t,�: f4 C2)
No Verbal Agreements I Payments by credit card incur a 2.5% convenience fee.
The undersigned acknowledges receipt of a true copy of this contract and that he/she has read and
understands the contents thereof and accepts the same on terms and conditions stated herein.
By Florida Law: Client has 72 hours to cancel this contract.
THERE WILL BE NO SERVICE OR WARRANTY REPAIR UNTIL BALANCE IS
PAID INF�fi'CLIENT: ;- DATE
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PIONFFR SCREEN LLC:
Contract Prico--
Deposit 25Z7
Concrete Draw
Misc.
SWD&hD yoov
Balance Du