HomeMy WebLinkAboutMiller Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/21/2021 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Pool Enclosure
F'RtiED IM:I?R{1JElUlNTC?!CATI?N: 7214Shanas, frail
Address: 7214 Shanas Trail Port St Lucie FI 34952
Property Tax ID #: 3414-501-1009-300-1
Site Plan Name: St. Lucie Gardens
Project Name: Miller
Mansard Style Screen Room For Pool
New E:,�ctrical Meter
Second Electrical Meter
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
Electric _ Plumbing _Sprinklers
Total Sq. Ft of Construction: 140 Sq. Ft.
Cost of Construction: $ 37,300.00
_ Generator
Lot No. 9
Block No. 2
_ Windows/Doors _ Pond
Sq. Ft. of First Floor:
Roof Pitch
Utilities: —Sewer —Septic Building Height:
NameThomas Miller
Address:7214 Shanas Tr
City: Port St Lucie State: _
Zip Code: 34952 Fax:
Phone No.312-342-0973
E-Mail:tr.miller@live.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name:Craig Rice
Company: Pioneer Screeen LLc
Address:3290 SE Slater St
City: Stuart State: FI
Zip Code: 34997 Fax: 772-283-3028
Phone N0772-283-9197
E-Ma i I Tammy@pioneerscreen.com
State or County LicenseSCC046064
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 CQ,NSTRiJCTI0 LIEN LAIN INF�RNiATION�
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ 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 attorney before commencing work or recording our Notice of Commencement.
Signature of Owner Lessee/Contractor as Agent for Owner
Signature of Cohtr -for/L'cense Holder
STATE OF FLORIDA
COUNTY OF
STATE OF FLORIDA
COUNTY OF AA `.�u
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of 2020 by
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
th2020 by
r
Name of person making statement.
Name of I46rson making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identificati
Type of Identification
Produced
Type of Identi ion
Produced /L �n SNQ�
Ole
(Signature of Notary Public- State of Florida)
(Si at of Notary Public- State Florida )
Commission No. Seal
tof
Commission No. .° Seal
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MA
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
RE
DATE
RECEIVED
DATE
COMPLETED
ev.
Permit No.
State of Florida, County of St, Lucie
13r I ROUHM
Property Tax 10 No. _g
The Undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Cotrinignc9mcm,
Legal Description of property and address if available
A66A r- I- &r A,'- 2, q1) C-1— 4 -' I&I //I
General description of improvements
Owner/lessee THO
Address
L—
M
Interest in property:
Fee Simple Title holder (if other than owner)
Address
Contractor Pioneer Screen LLC
phone # 772-283-9197
Address 3290 SE Stater Street: Stuart, Ft. 34997
Fax # 772-283.3028
Surety
Phone #
Address
Fax
Amount of Bond
Lender
Phone N
Address
Fax #
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served
by Section 713,13 (a) 7., Florida Statues:
D
0
z
Name I'llone N
Address Fox
In addition to himself, owner designates of
Phone ft Fax ft
to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes, Expiration date of notice or
commencement is one year from the date of recording unless a different date is specified, WARNING TO OWNER:
ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE. NOTICE OF COMM ENCEIM LNT AKE CONSIDERED IMPROPER
PAYMENTS UNDER CH,713.13, F.S., AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS -1-0 YOUR PROPERTY. AN(YrICEOF
COMMENCE M NT MUST OF RECORVED AND PosTEo oNTHE JOB $ITE nerowriie Ptasr wvvcriom It: You iNrLND'1'0 OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE MMENCINQ WORK OR RrCOKDING YOUR NOTICE OF
CONIMENCMENT.
OW1)4tr/1.wL,k, 4r O;vrtcr'j'ur (Zsgv's Authuritcd
(21,4d 1-1 en
State of Florida, County of
Acknowledgedbefore me this :' (Jay Off 20 by
who has produced as identification,
7
S gnatu6A�otary Type or Print Nanic or Notary , (Seat)
Title: Notary Public Commission Number 40 57
Notary pubbe State of Flor0a
49 Todd T Jackson
sr my Commission HH 053751
OF w Expires 1011412024