HomeMy WebLinkAbout123-Pool Enclosure Removal PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
Residential xxxx
PERMIT APPLICATION FOR: ENCLOSURE REMOVAL
PROPOSED IMPROVEMENT LOCATION:
Address: 123 QUEEN ANN COURT FORT PIERCE FLORIDA 34949
Property Tax ID #: 1414-701-0202-000-2
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE SCREENED IN POOL ENCLOSURE. (INSTALL FE NCI NG)(SEPERATE PERMIT FILED)
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.J
Block No. 20
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 Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ UNDER 500
OWNERAESSEE:
Name JOE VALENTINE
Address: 123 QUEEN ANN COURT
City: FORT PIERCE, FLORIDA State:
Zip Code: 34949 Fax:
Phone No.407-301-0158
E -Mail: JOEVALENTINE a@LUVALAW N.COM
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name:
Company:
Address:
City:
Zip Code:
Phone No
E -Mail
State or County License
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.
Fax:
State:
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION;
DEs
Name:
xx Not App
AdGress:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER; xx Not Applicable
Name;
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:—` Not Applicable
Name:
Address:
city: State:
Zip: Phone:
BONDING COMPANY: xx 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 perm}t 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 wylth 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 accessary uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvernepts to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie Counftnd posted on the jobsite before the first inspection. If you intend to obtain financing, consult
it len a or n attorney before commencing work or recording our Notice of Commencement.
Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE CIF FLORIDA STATE OF FLORIDA
COUNTY OF osmol;& COUNTY OF
Sin+ar o (or affirmed) and subscribed before me of
/_ Physical Presence or Online Notarization
this — day of 2020 by
c3oe
Name of person making statement.
personally Known ✓ OR Produced Identification
voe of Ideptificatiaw-%
Sworn to (or affirmed) and subscribed before me of
_ Physical Presence or Online Notarization
this , day of 2020 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(sign atur
o a Public- 5t
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ignature of Notary Public- State of Florida )
Commission No. l0 0
DVJiGI•i'1-E. MAYNA
( I))MMISSION#[ifd'761Qmmission No. (Seal)
FXPIRES: February 23, 2U
REVIEWS
FRONT
ZONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER
REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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