HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Namber:
Building Permit Application JUL
Planning and Development Services PEA;:191! i j,
Building and Code Regulation Division St. Lucie Caunt;, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Aluminum with concrete
PROPOSED`IMI?ROUEIVIENl" LOCATION. `
Address: 133 Queens Rd Fort Pierce, FL. 34949
Legal Description: Queens Cove-Unit 1 -Blk 18-Lot T
Property Tax ID#: 1414-701-0183-000-2 Lot No.T
Site Plan Name: Beckstead Block No. 18
Project Name:
i
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPl`ION OF"WORK
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Form & pour concrete slab 20'x 7' with 8" x 8" footer. Install 16' x 34' poly roof and 26'x 14' screen
roof.
CONSTRUCTION INFORIVIATI:ON
Additional work to e e orme under t ispermit—c ec a apply:
F1HVAC Ei Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: ((�� rr S Ft.of First Floor:
Cost of Construction:$ ` `1 J 100 Utilities:�Sewer Septic Building Height:
OWNER/LESSEE: ,CONTRACTOR:
Name Robert&Velma Beckstead Name: Michael J Newman
Address:133 Queens Rd Company: Pioneer Screen Co. Inc. II
City: Fort Pierce State:FL Address: 1682 SW Biltmore St
Zip Code: 34949 Fax: City: Port Saint Lucie. State:FL
Phone No.843.270.6066 Zip Code: 34984 Fax: 340.4626
E-Mail: Phone No. 340.4393
Fill in fee simple Title Holder on next page(if different E-Mail: pioneerscreen@msn.com
from the Owner listed above) State or County License: RX11066919
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION. ! s n
,Y
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Do Kim&Associates Name:
Address:Po Box 10039 Address:
City: Tampa State: FL City: State:
Zip: 33679 Phone: 813.857.9955 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 o your propert A Notice of Commencement must be rpqorded and posted n the jobsite
before the fir#inspection. If intend to obtain financing, consult lender or an att ey before
commenci ork or recor our Notice of Commencement.
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Signatu of Owner/ ssee/ ontractor as Agent for Owner Si natu a of Contract /Licens Holder
STAT OF FLORIDA STATE OF FLORIDA
COUNTY OF SaintLude COUNTY OF SaintLucie
The foroing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this ,�I day of k►-Z 2011 by this 1 A day of 20 11 by
Michael J Newm4 Michael J Newman
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Notary blic-State of Florida) (Signature of Nota Public-State of Florida)
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. 00023T77 !4(Seal) Commission No. GG023777 (Seal)
;�''•''" .,6: 03E!/ERL.Y S r DEVE ------__
COMMISSION#GG023777 MY COMMISSION#133023777
Revised 07/15/2014 '%f;'oF�n; EXPIRES November 03,2020 9f,"��`� EXPIRES November 03,2020
REVIEWS FRONT ZONING SUPERVISOR PLANS- VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE l 6
INITIALS