HomeMy WebLinkAboutKoval Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential X
PERMIT APPLICATION FOR: John Koval
PROPOSED IMPROVEMENT LOCATION: Front door and covered patio.
Address: 8432 Muirfield Way Port St Lucie, FL 34986
Property Tax ID #: 3328-802-0030-000-7
Site Plan Name: POD 27 AT THE RESERVE MUIRFIELD REPLAT LOT
Project Name: Koval
DETAILED DESCRIPTION OF WORK:
Rolling shutters to cover the front door and back covered patio.
New Electrical Meter Second Electrical Meter,
CONSTRUCTION INFORMATION:
OR 1441-2028)
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:
Cost of Construction: $
_ Generator
Sq. Ft. of First Floor:
Lot No. 27
Block No.
Windows/Doors ` Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height: Is
OWNER/LESSEE:
CONTRACTOR:
Name :b lr�
Name: ken Pendleton
Address: ���� 0��� ��t �-�
Company: glue Ocean Enterprises, Inc dba Sun Shade Miami
Address: 3190 SW 195th Terrace
City: �Jagr7r- �� Stat:� (—
City: Miramar State: FL
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Zip Code: S `t 1 8(e Fax:
Phone No.
Zip Code: 33029 Fax:
E-Mail: CAS-OLl'�\) u- ®C�M'°`tl Cs�vv`
Phone No954-488-1163
Fill in fee simple Title Holder on next page ( if different
E-Mail ken@sunshademiami.com
State or County License CGC1524271
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Iry mit 141e-161wncr listed aabovcll
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.
UpPL I tNTAL G NSTRUCTION LIED LAW INFORMATION:,
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name:
Address:
Address:
State:
City:
Zip: Phone
State:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
— Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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OWNER/ CONTRACTOR AFFIDVI I : Application is hereby made to obtain a PtItHIL LU uIc —111-- - - --__ _
I certifv 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 -you inten o obtain financing, consult
rk or recor in our No • Commencement.
with lender or an attorneybefore commencen wo
Signature of Contractor/License Holder
Signat a of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
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STATE OF FLORIDA
COUNTY OF
COUNTY OF •-
Swor to (or affirmed) and subscribed before me of
Sworrr (or affirmed) and subscribed before me of
Online Notarization
Physical PresjMcepr Online Notarization
V Physical Presence or
2020 by
this � day of 12020 by
this 1 T day o�fg ,
G� V AX
Ivalilc v� person making statement.
Name 1 Person li takll Ig statement,
Personally Kno n 'OR Produced Identification
Personally Known 1� OR Produced Identification
Type of (dent' ication
Type of Identification
Produced
Produced
(Si gnat re of Notar li ` tate of 0 '. MY COMMISSION
( >J1ur of Notary Public- State of Florida }
061 EXPIRES: May
No. t� /C"(V '' '
2 024
i No.
Commission B�n,r,�yP„
IS A KI)
COMMISSION # CG186126
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