HomeMy WebLinkAboutBuilding Permit Application I
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,AH APPLICABLE INFO'MUST BF COMOLETE6 FOR.A.PPUCATION`TO BE ACCEPTED
Date: - Permit Number:A-k lD- a
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o d gt.Il190,W- 4-�
MztcwBuilding Permit Application
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planning and Deveiopment Services
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Building and Gode•Regulation'Pivision Corllrhercia'I Residential` X'
. 2300 Virginial Avenue,Fort Pierce FL 34982
Phone:(772)4624553 Fax'1(772)462-1578,
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PERMIT APPLICATION iFOR Aluminum, With COI1Cfetze
.y F -' :�• 2+
P �� SD1PRt \fIIN'(`L( CA�IUN .
Address: 9429_Poiciana Ct Fort Pirece, FL 34951
Property Tax ID#: 1334.-503-Q038-000=8 Lot No.36
Site Plan:Name:.meadow unit one lot36 Block No.
Project Name: Miller
tETA11 ED DESCRIPTION C}F WORKx,k
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Install a 26'11"x39'1"alurriinumt.screen.enclosure-with a 1'.0'x 42'poly roof`on slab by pool;company.
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New Electrical Meter l-. . Second Electrical Meter
CONS RUCTION I f RMAT(
Additional work'to:be perfolIrmed under this permit=check all that:apply:
_Mechanical as Tank _Gas Piping _Shutters _Windows/Doors —Pond
_Electric _Pl mbing —Sprinklers _Generator _Roof Pitch: .
TotalSq.:Ft.of,Constructiari� Sq.Ft.ofFirstFloor:
14 829b0
Cost of Construction $ Utilities Sewer Septic -Building Height
�,.� z{"' x d' - `,- fi, b tzaaa iv [ ✓ } 2z `3,-,, riry y 'z', „. x n',..
Q1t�NERJLES�EE �� ,8, £� CON�f / � OR�
00 aw . _._
NameJ'amesMiller I lyame:MichaefJ'Newman
Address:9429 Poinciana Ct Company:Pioneer'Screen Co.Inc.II.
City: Fort Pierce State:_ Address:1.682.SW'Biltmore St'
Zip Code:34951`• Fax: City: Port St Lucie: State:FL
Phone Na.87.8-7762 Zip Code: '34984 Fax: 772=340-4626
E-Mail; Phone No 772-340-4393;
Fill in fee simple Title Holder on-next page.(-if different E-Mail pioneerpbt6erk@nisii.com.
@-, ' -
from the Owner listed above), State or County`License RX11066919
if'valueof construction is 2500 or more,a RECORDED,Notice:of Commencementis required.
if value of HAVOs.$7,560 or'more,a RECORDED Notice of Commencement it required_
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�TeSHUIPSP LPElAVlEG�E IS FOO 0k' HOMEOWNERTO SIGRrR � F
RMAtN 11T O *yn s
,DESIGNER :ENGI EER _'Not Appl;icable MORTGAGE:COMPANY: of Applicable
Name:_ Name.
-__.
Ad .
Address:ifress:
City: State: city: State:
F
Zip:: Phone Z'tp: Phone*,
FEE:SIMPLE TITLE,HOLDER: Not Applicable: BONDING COMPANY: _Not Applicable
Name: Name:
Address, Address.-
city-
Zip: .. ..._;Phone: Zip: Phone:
OWNER/CONTRACTOR.AFFIDVI.T:'Application is hereby made to obtaima,permit to,do the work-.and,installation asindicated::
l 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 build the subjectstructure.
which is In con ict:with.any applicable Home Owners Association rules,bylawsorand covenants that may restrid.or:prohibit such.
structure.Please consultwlth your,Home Owners Association and reviewyour deed for any festrictions;which may apply:.
In.:consicipmMorrof the granting pf'this requested permit,I:do hereby agree that l wiiljn all respects,perform1he vuark
in accordance with the approved.;plans;the Florida Building Codes and St Lucie County Amendments:
The following building_permit applications are&drhot,from undergbirig afuil edncurfency review:room,additions
accessory,structures,swimming pools;,fences,wails aigns;screen rooms and accessory uses to anotherpon-residential use
WARNING TO OWNER;:Your failure to Record - Notice of Commencement may.result in paying-tw�ce 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;(f a.intend obtain financing,consult
with lender or an:attorne before commeneiri work or recordin : r Notice ommencement:
Sig ure.of Owne/lessee/Contractor as Agent•for owner Signature f Contract N cense`Holder
S. _ TE-OF FLORIDA { STATE OF FLORIDA
COUNTY OF S : . Cl'�I? COUNTY OF C(.
Sworn . (or affirmed),and subscribed before me of Sworn or affirmed)and subscribed before me of
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cal Pr ence or Online Notarization, t! tic Pre nce or, Online N tarization
this. delay of- 2i)20_by this "lday of , 20Z by
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Name,of person,makingstaternent. Name of person making statement.
Personally.Known OR Produced Identification Personally Known OR Produced Identification
ype•of Ide cation Type of7dentification
roduced �{,ti,(S Produce d
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(Signa a of No0 , bli Stat of F rida
o+s G tlot2iy Publ c$[ate of F,,r1.a rt re of N ary Puhllc $� p I �r�l a s .
Franc ne Ne-Vmnan
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'` EX ..es.0.°i123207
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE._.
COMPLETED
ev.