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Building Permit Application
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �'0 • S' o�0 Permit Number:,—,? ] ) • ©��,(, ��arr n�n� _�• RECEIVED OCT 2 5 2021 t Q 'a o nF2) K Building Permit Application St.Lucie County Planning and Development Services - Permitting 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: 6..� y� c) o w r e PROPOSED IMPROVEMENT LOCATION: Address: 2006 NW ROYAL FERN CT. PALM CITY FL. 34990 Property Tax ID#. 4425-605-0017-000-6 Lot No.UNIT-3 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: 1500 SF Sq. Ft. of First Floor: Cost of Construction:$ 12,500.00 Utilities: —Sewer —Septic Building Height: OWNERAESSEE: CONTRACTOR: Name ROGER CRANDELL Name:HOOVER FINO Address:2006 NW ROYAL FERN CT. 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. it SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _ Not Applicable Name:PAUL WELCH INC. Name: Address:1984 81LTMORE ST.#114 Address: City: PORT ST.LUCIE State: FL. City: State: Zip: 34984 Phone772-785-9888 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 lender or an attorney before commencing work or recording our Notice of Commencement. Sign at Owner/Lessee/Contractor as Agent for Owner Sign a of Contractor/License Holder STATE OF FLORIDA A STATE OF FLORIDkAJ COUNTY OF COUNTY OF 46'pj 'P Sto�to(or affirmed)and subscribed before me of Swo�to(or affirmed)and subscribed before me of Physical Presence or Online Notarization Physical Presence or Online Notarization this day of 2020 by this day of ., - /� ,2020 by Pi N v G nA1 Z A 11P4 �i rn v -r''VI Y, &-d i!=t. E Y, 0 Name of person making statement, Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Id a ion Type of en ation Produced C Produced (Signature of N HREY (Signature of N �„gu�i.��Sta `.S�,pY PUp•,, AUDRE o• tk GG 300817 :'wv Pu'' AUDREY B.HUMPHREY Commission No. `_ :,: My :2oa• •b•� 2 PIRES: �,2023 Commission c31 _ n�YC OMMISSION#(�S M117 9 ? P EY.PIRES:March 6,2023 Bonded Thtu Notary Public Undernfiters :;;Tc ;= public Underwriters o: n xUaPn ..oar REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.