HomeMy WebLinkAboutPermit App.All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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 X
PERMIT APPLICATION FOR: SCREEN ENCLOSURE AS A POOL BARRIER
PROPOSED IMPROVEMENT LOCATION:
Address: 12797 NW MARINER COURT, PALM CITY, FL 34990
Property Tax ID #: 4425 603 0014 000 9
Lot No.
Site Plan Name: Block No.
Project Name: TIPPLE RESIDENCE
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF SCREEN ENCLOSURE AS A POOL BARRIER ON EXISTING CONCRETE DECK.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 15,480.00
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameTERENCE J. & JOAN E. TIPPLE
Name:MICHAEL R. LOVELL
Address:12797 NW MARINER COURT
Company: LOVELL ALUMINUM, INC.
City: PALM CITY State: FL-
Zip Code: 34990 Fax:
Phone No. 772-785-5372
Address:615 WHITNEY AVENUE, SUITE 5
City: LANTANA State: FL
Zip Code: 33462 Fax: 561-585-0889
Phone No561-540-3858
E-Mail:JOAN.TIPPLE@GMAIL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail LOVELLALUM@ATT.NET
State or County LicenseSCC131150707
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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.
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 r 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. If you intend to obtain f!gancing, consult
with lender or an attornevlmfore commencine work or recording.you.FNotkgzf'ComrnepteYnent,-�
Signature of Own r/ es a/Contractor s Agent for Owner
i ature of Contr for/L tens o er
STATE OF FLO ID��ii {-,
STATE OF FL0,Rf9A
COUNTY OF
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worn to (or affirmed) and subscribed before me of
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this day of /' , r 2020
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