HomeMy WebLinkAboutPERMIT INFILL SCREEN 5812 Myrtle Dr|
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:Permit Number:
J
ll Building Permit ApplicationPlanningandDevelopmentServices
ll Building and Code Regulation Division Commercial Residential XXX
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
"ER""'T A""”CAT'°"‘FOR‘
screen infill to existing structure
Address;5812 Myrtle drive
property Tax ‘D #;3402-609-0335-000-9 Lot No_17
Site Plan Name:mdia"“V97 estates Block No.51
project Name;Lude Rose Poitevien
infill screen existing structure front of house 2 walls
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 Constructio4400 00 Sq. Ft.of First Floor:
Cost of Construction:$Utilities:
_
Sewer
_
Septic Building Height:
A A Name;Ray Edwards
Address;‘2_‘mm.\_\,_D N;,_company,AffordableScreen Rooms Company
City:u-r-\9\e(ci State:
__
Address:313 "W aU"°'a Street
Zip Code:Fax:City:P0”St ‘W59 Statezfl
Phone No.772-QZQ 44-/?$Zip Code:34933 Fax:
E-Mail:$33 Q A$QC.:\).S Phone No772 5254495
Fill in fee simple Title Holder on next page (if different E-Mail TaY@a5’C-U5
from the Owner listed above)State or County License 29118
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.
jun ———-—-
l-us
—
400
||St.Lucie Count makes no representation that is granting a permit will authorize the (permit holder to build the subject structure
.WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in paying twice for
I
DESIGNER/ENGINEER:_><__Not Applicable MORTGAGE COMPANY:§__Not Applicable
Name:Name:
Address:Address:
City:State:City:State:
Zip:Phone Zip:Phone:
FEE SIMPLE TITLE HOLDER:X_Not Applicable BONDING COMPANY:><_Not 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.
which is in con ict with any applicable Home Owners Association rules,bylaws or an 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
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 financing,consult
with lender or an attorney before commencing work or recording your Notice of Commencement.
%fi3//Sig ner/
II€ssee/Contractor as Agent for Owner Si ontractor/License Holder
STATE OF FLORIDA 5‘/(-STATE OF FLORID .-COUNTY or C/C coumv OF xi‘:4/6’
‘0
Sworn to (or affirmed)and subscribed before me of Sworn to (or affirmed)and subscribed before me of
g
P sical Presence or Online Notarization hy ical Presence or Online Notarization
this Yb day of fl’?/L/(77 ,2020 by this If day of [Zia/C77‘,2020 by
Efiggigngfg Qgfl,nggsgé (L'c,Qx;L)c~i~oIL5
Name of pers aking statement.Name of pefibn making statement.
Personally Known OR Produced identification X Personally Known OR Produced Identification
L
Type of Identification Type of Identification
Produced _[)fIV6<$/rZC/UP Produced P/’\/66 //Z5’/Lap
Notary Public -State of FIG
"-1"“'5 Commission ii GG 331 :0(Signature of Notary Public-State of :_
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nat e of Notary Public-State
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Comm.EXDIVES WY 7 7-
dlCommissionNo.3 5/606
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.5/6/20