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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �'���Z` Permit Number:
P a @ • o L_ Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 12821 NW CINNAMON WAY PALM CITY FL. 34990
Property Tax ID#: 4425-602-0022-000-5 Lot No.UNIT-10
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
ALUMINUM SCREEN ENCLOSURE WITH 8"X 8" CONCRETE FOOTER
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 _Windows/Doors _Pond
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 456 SF Sq. Ft. of First Floor:
Cost of Construction: $ 7,500.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name KENNETH SPARLER Name:HOOVER FINO
Address:12821 NW CINNAMON WAY Company:FINO'S SCREEN AND ALUMINUM CO.
City: PALM CITY State:_ Address:2789 SE GRAND DR.
Zip Code: 34990 Fax: City: PORT ST. LUCIE State:FL.
Phone No. Zip Code: 34952 Fax:
E-Mail: Phone N0772-708-5761
Fill in fee simple Title Holder on next page(if different E-Mail FINOSSCREEN@ATT.NET
from the Owner listed above) State or County License25788
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.
1 '
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:PAUL WELCH INC. Name:
Address:1984 BILTMORE ST.#114 Address:
City: PORT ST.LUCIE State: FL. City: State:
Zip: 34984 Phone772a85-9888 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 lenderjor an attorney before commencing work or recording our Notice of Commencement.
Signature of er/Lessee/Contractor as Agent for Owner Si re of Contractor/License Holder
STATE OF
COUNTY OFORIDA C COUNTSTATE OY OF FLORIDA 5�—��k
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or, Online N tarization PAY ical Presence or Online N arization
this�—day of `�w 2021 by this - �'lday of 2020-by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identificat' _ Type of Identification I
Produced LLEN \jAUGHN Produced �'
public
State of Florid#NGGa270079
vV Commission .on Expires ,aim, ELLEN VAUGHN
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(Signature of N tary Pub ^• $T Flb rd� tober 22, `(Signature of �t �iceSl h�, i phi 270079c
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Commission No. (Seal) Commission N October 22 Ste$
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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