HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
3Q W
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential X
PERMIT APPLICATION FOR: Richard Wright
PROPOSED IMPROVEMENT LOCATION: Rear covered patio.
Address: 8412 Muirfield Way Port St Lucie, FL 34986
Drnnorty Tax In #- 3328-802-0035-000-2
- - -
cita Plan nlama- POD 27 AT THE RESERVE MUIRFIELD REPLAT LOT 32
Project Name: Wright
DETAILED DESCRIPTION OF WORK:
Rolling shutters on the rear covered patio.
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. 32
Block No.
Additional work to be performed under this permit— check all that apply:
Mechanical Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers — Generator e Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name_ `�Ich Q1- -
Name: ken Pendleton
Address: KM tt.�7 c%�r�l � 6
City:State:
Zip Code: Fax:
Phone No. 1'1— Z
E-Mail; tV1,.W67-4 (6-L ayr rr C—&
Fill in fee simple Title Holder on next page ( if different
fre+a+w +he n,...+ar i:-+a.1 �..,,.e�
iiom Li a Vunune-Y.l4Gd abovell
Company: Blue Ocean Enterprises, Inc dba Sun Shade Miami
Address: 3190 SW 195th Terrace
City: Miramar State: FL
Zip Code: 33029 Fax:
Phone No 954-488-1163
E-Mail ken@sunshademiami.com
c+-,+„ „� r.,� ��.+�, i �...,��„ CGC1524271
I Late o COW ILY Ll l•GIIJG
If value of construction is 2500 or more, a RECORDED Notice oT LommencemenE is requireu.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: — Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name,
Address:
Citv:
Zip: Phone:_
_ Not Applicable
BONDING COMPANY:
Name:
Address:
rite
Zip: Phone:
Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to ao the worK anu Lrl]ld11dUUrI dD 111UIUaI.—
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 underoning a full rronr_urrency 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 rec?�rded in the public records of St.
Luc unty and posted on the jobsite before the first inspection. If y 40,tend to obtain financing, consult
�_._ __ . 4-4- v� .., t1„�„re rr.mmanrin� ,e,rnrle nr rPrno vnl otce of Commencement.
n Ie det Ur dil OLLvrrIC: cruic--
i
S nature of Owner/ Lessee/Contractor a ent for Owner
ignature of ContractorJLicense Holder
STATE OF FLORIDA (��
L�
STATE OF FLORIDA
' l iJ l�
COUNTY OF EJ L/ �l�
COUNTY OF .
o (or affirmed) and subscribed before me of
SworPhysical
Sworn to (or affirmed) and subscribed before me of
Presence or Online Notarization
_-Z Physical Presence or Online Notarization
this day of 2020 by
this � day of T I ` 2020 by
I�r 1,
�a11. ` I
Name of `per son making statement.
N
Name of person makin tatement.
OR Produced Identification
Personally Known �� OR Produced Identification
Personally Known
Type of Identification
Type of Identification
Produced
Prnrlu
IP
RDissi
# GG 236838
(O� F�='
n
Q�3857II
{Si eof otary Pub c State of Florida }s u u urn f n'n y Public- State of Floridahru
ray at nsuranca
Commission No. (Seal) Commission No.
p`""`�� LISA KOCH
SSION # GG 186126
EXPI & February 14, 202
//--�� r�
RLV IL V��S r1ONT ZI.i NINE SU P ER V ISC.)R PI VECG ETATIVN � S Tr � uL
REVIEW REVIEW REVIEW REVIEW
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. b/b/Ltl