HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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• Building Permit Application SCAYNED
Planning and Development Services St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxxxxxxx
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 2656 Conifer Drive
Legal Description: First Replat in Meadowood Unit Three - Lot 59 (OR 3760-758)
Property Tax ID #: 1334-506-0016-000-7 Lot No.59
Site Plan Name: Gary Foust
Block No.
Project Name: Foust Residence
Setbacks Front;Back: 15.6 Right Side: 19 Left Sider
DETAIL ED,DESGRIPTION"OF�WO '*K"i'
Installation of Pool Screen Enclosure on Existing Deck
CONSTRUCTION INFORMATION:
itiona wor to a erorme under t—checkispermit a apply:
n
I JHVP 11 Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 10,900.00 Utilities:cn Sewer Septic Building Height:
OWNERJLESSEE
CONTRACTOR:
NameGary Foust
Name: Craig Rice
Address: 2656 Conifer Drive
Company: Pioneer Screen LLC
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No.205-914-8547
Address: 3290 SE Slater Street
City: Stuart State: F1
Zip Code: 34997 Fax: 772-283-3028
Phone No. 772-283-9197
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: Bev@Pioneerscreen.com
State or County License: SCC046064
IIIf value of construction is $2500 or more, a RECORDED Notice of Commencement is required. II
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION;
DESIGNER/ENGINEER: Not Applicable
Name:CAGLk W56M
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:yt-1510-rAMAY41'VLA-IL "Nlt I
Address:
City: State: eL-
Zip: 3398o Phone 9W -391 -5-1kz
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:3290 se Water Svaet
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, 1 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 or an attorney before
13
Lessee/Contractor as Agent
STATE OF FLO A _ STATE OF FLORI�1 -q
COUNTY OF^ Or/LC_ t� S COUNTY OF // I a'glk f)
The forgoing mstru�e it was acknowledged before me
this LNayof c_ 201? by
C� ,
Na of perso9-making statement
Personally Known !/ OR Produced Identification
Type of Identification
(Signature of I14h t - tat of FIB
,..4er;_ BEV L.
Commission N A.Ivrn�rwro
EXPIRES: July 6, 2020
Bonded RM Notary Public Undemilters
REVIEWS I FRONT COUNTER I RONING EVI W SUPERVISOR REVIEW
Jyl:
Rev.
The for.goQing instr} ent was acknowledged before me
this May of Lie 20—C by
I C.IF
NAA of person making statement
Personally Known OR Produced Identification
Type of Identification
BEV L.
2020
VEGETATION I SEATURTLE I MANGROVE
REVIEW REVIEW REVIEW