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Date:
INFO MUST BE cOMPLIETED FOR APPLICATION TO BE ACCEPTED
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number: 1905-0234
RECEIVED —a.§Y
MAv % 11nis St. Lucie
Building Permit Application. De artment
Permitting, P
St. Lucre County
Commercial Residential X
PERMITTYPE: Aluminum screen room on existing slab
PROPOSED IMPROVEMENT LOCATION:
Address: 911 Emerald Ave. Fort Pierce, FI.34945
Property Tax ID #: 2309-801-0037-000-1
Site Plan Name: Matthew Guettler
Project Name:
DETAILED DESCRIPTION OF
INSTALL NEW SCREENROOM
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 2,400.00
Lot No.
Block No. _-
Windows/Doors
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building. Height:
OWNER/LESSEE:
CONTRACTOR:
Name Matthew Guettler
Name: William Dramble
Address:911 Emerald Ave.
Company: Coastal Aluminum Construction
City: Fort Pierce State: _
Zip Code: 34945 Fax:
Phone No.
Address: 496 S Market Ave.
City: Fort Pierce State: FI
Zip Code: 34983 Fax:
Phone No 772-468-0288
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail tinman2287@att.net
State or County License 20128
If value of construction is $2500 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.
SUPPLEMENTAL CONSTRUCTION LIEN. LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or andpcovenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and reviewyour 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 INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Tignature of Owner/ L� ntractor as gent for Owner
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Sigkature of Contractor/Lice(se Holder -
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STATE OF FLORIDA
COUNTY OF S>
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STATE OF FLORIDA
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