HomeMy WebLinkAboutPERMIT screen enclosure with existing slab 5812 Myrtle DrAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:Permit Number:
ST‘,lLCLll@l]E
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Building Permit ApplicationPlanningandDevelopmentServices
Building and Code Regulation Division CO m me rcial Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
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PERMITAPPLICATION FOR:S¢,.o.m\ew.ltasuyu.-‘=l\m~=\sJ~uJ ">01?<7“
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Address:58 I1 ll/\J\f4-It Brim ,
Fgzr-4-'5"
Wren TL .3"I$I’L
Property Tax ID #:3>“I0§L-606!’03-55 ‘GQ'Q-Lot No.I I
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Site Plan Name:‘..\_.’v\3\\‘o.v\Q\~;~M ¢A§k-:3’!/6 Block NO.Q!
Project Name:
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New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit -check all that apply:
_Mechanical
_
Gas Tank
_
Gas Piping
_
Shutters
__
Windows/Doors
_
Pond
_
Electric
_
Plumbing
_
Sprinklers
_
Generator
_
Roof Pitch
Total Sq.Ft of Construction:20 2 Sq.Ft.of First Floor:20 X
Cost of Construction:S 4 200 Utilities:
_
Sewer
_
Septic Building Height:
Name s;'$'_gm.\€~/\L“°I-E‘To 5!,Name:go-u EoI\»cu~e.I.S
AddFE551 x-¥\t B<\~i~'~
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City:
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lg ?\Q,('L,\_,State:fl—-Address:3 l'.’>
um Asrrcnro.
Zip Code:5%?X 7—-Fax:City:SXLV OJ.State:VI-—
Phone No.Zip Code:34‘?5 Fax:
E-Mail:Phone No '77 7.‘G7..G-HI‘-I RSFillinfeesimpleTitleHolderonnextpage(if different E-Mail klII
from the Owner listed above)State or County License 2 ‘ill 8’
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.
DESIGER/ENG|NER=NApcab|MORTGGCAY:
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Name:Name:Address:Address:City:State:City:State:Zip:Phone Zip:Phone:
FEE SIMPLE TITLE HOLDER:71 Not Applicable BONDING COMPANY:7;gNot 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 Count makes no representationthat is granting a permit will authorize the permit holder to build the subject structurewhichisinconictwithanyapplicableHomeOwnersAssociationrule_s,bylaws or and covenants that may restrict or prohibit suchstructure.Please consult with your Home Owners Assoclatlon and review your deed for any restrlctlons which may apply.
In consideration of the granting of this requested permit,
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do hereby agree that
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will,in all respects,perform the workinaccordancewiththeapprovedplans,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 forimprovementstoyourproperty.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 financing,consultwithlenderoranattorneybeforecommencingworkorrecordingyourNoticeofCommencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY or
OLA/‘I’L,v~0<«
Sworn to (or affirmed)and subscribed before me of Swor to (or affirmed)and subscribed before me of
Physical Presence or Online Notarization §hysical Presence or Online Notarization
this day of ,2020 by this 0 day of Mt)?
—.
,2020 by
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Name of person making statement.Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification ‘LTfIdt'f‘at‘Type of Identific '
ypeo en
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Produced ydueeek
1».(Signature of Notary Public-State of Florida )
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Notary Public ~State of Florida‘-
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(Sea)‘l.S,°c“.31n°.li7s§3'Qi:esu..s,2o2:
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.5/6/20