HomeMy WebLinkAboutappAll APPLICAB E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: t ` Permit Number:
D' R .a.=110
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
Commercial Residential
RECEIVED
JUL 15 2019
Permitting DePare"n"t
St. Lucie county
V
PERMITTYPE: Installation of Screen Enclosure
RC3PtSED iMPR01/ENfIUT IOCATIOi,
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Address: 13308. NW Maplewood Road
Property Tax ID #. 4426-815-0048-000-0 Lot No.
Site Plan Name: Murray Residence Block No.
Project Name: John Murray
NameJohn Murray
Address:13308 NW Maplewood Road
City: Palm City State: _
Zip Code: 34997 Fax:
Phone No. 772-631-7211
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Craig Rice
Company: Pioneer Screen LLC
Address:3290 SE Slater Street
City: Stuart State: FI
Zip Code: 34997 Fax: 772-283-3028
Phone No772-283-9197 ext.107
E-Mail Bev@pioneerscreen.com
State or County LicenseSCC046064
it value of construction is $7500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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5t)�EL<r=MNAL �ONSTRT1¢li=ill LP�NI1�?RNf�tT_l}
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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
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 JOB SITE BEFORE THE FIRST INSPECTIO . IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN jYOUR NOTICE F COMMENCEMENT."
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a�igrfAure
Owner/ Lessee/Contractor as Agent for Owner
Signature f ontractor/License Holder
STATE OF FLO DA
COUNTY OF
STATE OF FLO
M
,`1
COUNTY OF
The forg�,rng in me t was acknowledged before me
this '`flay o i 204 by
The for ing instr nt as acknowledged before me
thi day of 204 by
Name of person making statement.
Name of erson making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced A
Produced
d
Signature of Nqi Qr AD
(Signature of Notary
,2oie -y—P, �, BEv L. HADDAD
MY COMM N # GG
1rj :?ye(
`� ¢ '; MY COMMISSI N # GG 009363
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Commission No.`y? :_: 2020
XPIRES:U7g�
Commission No.
_
0�f 009363
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REVIEWS FRONT ZONING SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19