HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE C&.v16'1-JED FOR APPLICATION TO BE ACCEPTEL r
Dater a1a$ 1�a' Permit Number: aa62L'461 Sao
RECEIVED
Building Permit Application
FEB 2 8 2022
Planning and Development Services St., PeermrmLude County
itting
Building and Code Regulation Division Commercial Residential x
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
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I?R'OPOSED IIVIPRCIVEMENT LOCATt, IN'
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Address: 9409 Poinciana CT Fort Pierce, FL 34961
Property Tax ID #: 1334-503-0028-000-5
Site Plan Name:
Project Name: _
MEADOWOOD UNIT ONE LOT 26
9409 Poinciana
Lot No.
Block No.
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DETAILED DESCRIPTION OFWORK a wreX
FneingA Axis ina foxed reef patio Leave existing clod r in place, coming out of living room and master hedroem
on to patio. No air conditioning is being placed in the room. Raise concrete floor on patio to finish floor height.
Installation of Impact glass- 2 sliding doors and a single window to eclose the patio, repair stucco.
New Electrical Meter Second Electrical Metel (Affidavit required)
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Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 17,000 Utilities: —Sewer —Septic
Text
Building Height:
Pond
Pitch
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Name Dorothea F Ufner
Name;r Chris Woods
FCompa`n' flinpact Experts
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Address: 9409 Poinciana CT k' `'" `'''' `"'`'''`"
City: Fort Pierce, FL 34951
State: _
Address: 1406 nE meyers Ter
City: jensen Beach FI 34957
State:
Zip Code: Fax:
Phone No. 402-883-0492
E-
Zip Code: Fax:
Mail:
Phone No 772-285-9342
Fill in fee simple Title Holder on next page (if different
E-Mail Cwoodscorp@yahoo.com
from the Owner listed above)
State or County License CGC1519929
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.
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SUPPLE.MENTALCONS�TR.nUCTIOLiNL1N1(F4#�ATION
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DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name:
Address:
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Address:
City:
I State:
City:
State:
Zip: Phone
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Zip: Phone:
FEE SIMPLE TITLEHOLDER:
_ N' t Applicable
BONDING COMPANY:
Not Applicable
Name:
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Name:
Address:
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Address:
City:
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City:
Zip: Phone:
Zip: Phone: I
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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 issuo nce 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 Florda 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, v ,alls, 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 our property. A Notice of Commencement must be recorded in the public records of St.
Lucie County Od Josted on the jobske before the first inspection. If you intend to obtain financing, consult
with lobder cA, an Ittornev before corinmencing work or recording your Notice of Commencement.
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A
Signature of Contrac or - or - Owner Builder as
applicable
STATE OF FLORIDA
COUNTY OF ST Lucie
Sworn to (or affirmed) and subscribed before me of X
Physical Presence or Online Notarization
this 28 day of FEB , 20 22 by
Name of person making statement.
Personally Known X OR Produced Identification
Type of Id ntification duced
gnature of Notary Public- State of Florida)
°
JAZMIN0ISTCKES
Commission No. (Seal)
MY CflmmisSioN # HH imss
=g; -7; EXPIRES: SWemberIs, *S
:� ;� ;�"••' Bonded
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TMu Nom y Public undemlf1111111
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Rev 10/12/21