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ALL APPLICABLE INFO MUST/BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: )-7 Permit Number: ` / 710— w b
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Building Permit Application OCT i 9 2017
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Aluminum without concrete EJ
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Address: 9701 MULLER RD. FT. PIERCE FL. 34945
Legal Description:
34-35-39 W, 112 NW, 1/4 SE, LESS W 39 FT FOR CANEL R/W
Property Tax ID #: 2334-422-0000-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Q� Right Side: 3rI I + Left Side: aO'"
ry 4
��!lESCRI P . E
INSTALL A4NGT^' ' " 28 FT X 49 FT X 8 FT HIGH POOL SCREEN ENCLOSURE.
EXISTING POOL.
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Additional work to e e orme under this permit —check a apply:
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❑HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
❑ Electric ❑ Plumbing O Sprinklers ❑ Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
❑Septic
Cost of Construction: $ 11550.00 Utilities:Sewer Building Height:
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NameRONALD EVERLY
Name: VAUGHN HOSKINS
Company: V H EXTERIORS INC
Address:9701 MULLER RD.
City: FT. PIERCE State:FL.
Address: 543 NW WAVERLY CIR
Zip Code: 34945 Fax:
City: PORT ST. LUCIE State: FL.
Phone No. 772-201-8194
Zip Code: 34983 Fax: 772-871-2567
E-Mail:
Phone No. 772-871-6484
E-Mail: VHEXTERIORSINC@GMAIL.COM
Fill in fee simple Title Holder on next page ( if different
State or County License: 21579
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name: SUNCOAST ALUMINUM ENGINEERING LLC
Name:
Address:
Address: 1363056TH ST.
City: CLEARWATER
State: FL.
City:
State:
Zip: 33760 Phone727-532-9000
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender orattorney before
commencing work or recording your Notice of Commencement. �
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Signature of O%kneW Lessee/Contractor as Agent for Owner
Signature of Contractor/Lice se r
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 9TLULIE
COUNTY OF -LUCIE
The rgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
Oc�F
this day of 0 C 20 V by
this % day of , 20A'A by
Vpug6 *bs01 S
(11 tW 1 oSt4S
Name of person making statement
Name ofqerson making statement
Personally Known-4 OR Produced Identification
Personally Known�A OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Si ure of Notary Public- State of Florida)
(Sig t e of Notary Public- State of Florida )
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Commission No.f��� H (3ACHEITE
*; *= MY COMMISSION FF 152261
mission No.
JEAN RALPH GACHEITE
MY
EXPIRES; August 18,
'*•' *`- COMMISSION # FF 152261
2016
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DATE
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RECEIVED
DATE
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tev. 8/2/17