HomeMy WebLinkAbout10-11-21 Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPUCATION TO BE ACCEPTED
Date: 10/07/2021 Permit Number:
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`. ° - � u `' t2 Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, FoR Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:A�Uf111f1U171 SpeClB�ty f el'fTllt-Ifl FI��
PROPOSED IMPROVEMENT LOCATION:
Address: 5917 Spanish River Road
Property Tax ID #: 1312-502-0134-000/0
Site Plan Name:
Project Name:
x
Lot No. 310
Block No.
� DETAILED DESCRIPTION OF WORK: �
In Fill" back patio with new white aluminum, new 18l14 Phrfer insect screen and 1 new white screen door.
Back patio has an existing roof and concrete slab.
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
_Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction: 270
Cost of Construction: $ 1694.00
_Generator
Sq. Ft. of First Floor:
Windows/Doors Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Juanita Johnson
Name: Keith Hammer
Address: 5917 Spanish River Road
Company: Boca's Finest Screening, Inc. DBA L&L Screening
Address: 4808 Regina Drive
City: Fort Pierce State: �
Zip Code: 34951 Fax:
Phone No. 912-271-5514
City: Fort Pierce FL
State:_
Zip Code: 34982 Fax:
Phone No 772-359-9426
E-Mai1:J9Johnson208@yahoo.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
If value of constnirtinn is 7SM r.r m...e � o°rr�onr.. " _ __ _
E-Mail bocasfinestscreening@gmail.com
State or County License 30351
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If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
-.� Not Applicable
MORTGAGE COMPANY:
Name:
-'� Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
„'+� Not Applicable
BONDING COMPANY:
Name:
k Not Applicable
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 tfiis 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 nr an attnrnpv hcfnro rnmmnn.-inn . �L .. �J:�... _ �. _ � .,
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SI ature of Owner/ Lessee/Contractor as Agent for Owner
SI ature o C//ontractor/License Holder
STATE OF FLORI A
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STATE OF FLORIDA
COUNTY OF � � . 1--L./ �'r �
COUNTY OF ,`) t � f ��
Sw rn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Sworn to (or affirmed) and subscribed before me of
Presence
this � day//of�f n(�;��� l 202� by
ysical or Online Notarization
th�� day
of t/�ol 202p by
P� �� ��eIE
Name of person making statement.
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Name of person ma c`ing statement.
Personally Known �L OR Produced Identification
Personally Known /L : OR Produced
Type of Identification
Identification
Type of Identification
PrQFluced
Produced
(Signature of Notary Public- Stat
lure of Notary Public- St o Florid
C��� �• Notary Public Sfate of FI itls
Commission No. ;. � ana M Dailey /� � -
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REVIEWS FRONT ZONING SUPERVISOR
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PLANS VEGETATION SEA TUR
COUNTER REVIEW REVIEW
DATE
REVIEW REVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED
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