HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE CiJ_.,(AETED FOR APPLICATION TO BE ACCEPT erg''
Date: a ado a Permit Number:
m r _ RECEIVED
Building Permit Application FEB 2 6 2021
Planning and Development Services
Building and Code Regulation Division Commercial Residentifrmitting 5�eaartment
L`m nuntu
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Screen Enclosure
PROPOSED IMPROVEMENT LOCATION:
Address: P-219 NW Seagrass Dr Palm City FI
Property Tax ID #: 4426-805-0008-000-7
Site Plan Name: Harbor Ridge Plat 10 Fairway Village unit 8
Project Name:
Lot No,
Block NO.
I DETAILED DESCRIPTION OF WORK: I
New screen enclosure with insulated roof panels
New Electrical Meter Second Electrical Meter
I CONSTRUCTION INFORMATION 'I
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: 65
Cost of Construction: $ 5,250
Sq. Ft. of First Floor:
Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name William F Carmody
Name:James Renie
Address:9 Bernheimer Ln
City: Cortlandt Manor NY State: _
Zip Code: 10567 Fax:
Phone No.914-441-1702
E-Mail:wfcarmody@verizon.net
Company: Southern Screen Solutions
Address:782 SE Arlon Ln
City: Port St Liucie State: FL
Zip Code: 34983 Fax:
Phone No772-708-8130
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail southernscreensolutions@gmail.com
State or County License PSL#14648
IT vawe or construction is Z5UU 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.
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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Na me: FlDrida Aiumintim Engineering
Name:
Address:5wimarmefst
Address:
City: Tampa State: Fl
City:
State:
Zip:336M Phone813-374-24m
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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.
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. If you intend to obtain financing, consult
with lender or an attornev before commencing work or recording vour Notice of Commencement.
Signa ure of Owner/ Lessee/Contractor Agent for Owner
Sign ure o o tractor/License Holder
STATE OF FLORIDA
STA OF F 41DA
�T
COUNTY OF -..L `- 1
COUNTY OF ZS k. U vNlr
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization_
Physical Presence or__—Online_Notarization-- - —
_ _
-this � day ofIP-6 riU(da& 1 , X)M'by
this Q fo day of , 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
Type of Identification
Type of Identifi tion L
Produced
Produced V
P� DEANNAGl_E054„ '
Notary Public - State of Florida, ',
( ignature of No ry Pub l'
-
(Signature of Notary P @� Ices Jan 2a, 2025
;fit► °•!,; SHIRLEYA. SAUNIER
: MY�MISSION#HH049290
Commission No.
�F onded through National Notary Assn.
Commission No.ilhkQ
EXPIRES: January3l, 2025
,OF �Ol.•
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