HomeMy WebLinkAboutBUILIDING PERMIT APPLICATIONAll APPLICA E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: SCANNED Permit Number: vqnq—
Planning and Development Services
Building and Lode Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
BY Ln
ECEIVED
St. Lucie County
PR 3 0 20A
Building Permit Applicatie County, Permltting
Commercial Residential xxxxxx
PERMITTVPE: Pool Enclosure Replacement
;�ROP,OSED.I�P-ROVI:MENT LOCATION: '
Address: 1487 NW Sweetbay Circle, Palm City, FL 34990
Property Tax ID #: 4426-804-0037-000-6
Site Plan Name: Kenneth Klieback
Project Name: Klieback Residence
Lot No.
Block No.
Installation of Pool Screen Enclosure on Existing Deck
,CONST"U IONINFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 9245
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
ODUNERJLESSEE` m °
CONTRACTOR;
Name Kenneth Klieback
Name: Craig Rice
Address:1487 NW Sweet Bay Circle
Company: Pioneer Screen LLC
City: Palm City, State: _
Zip Code:34990 Fax:
Phone No.
Address:3290 SE Slater Street
City: Stuart State.FI
Zip Code: 34997 Fax: 772-283-3028
Phone N0772-283-9197
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 LicenseSCC046064
it value or construction is yZSOU 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.
SUNPLC-IALLUNbI'KULI10N LIEN LAW INFORMATION
p..
Not
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
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 con, 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'
P STED ON THE JOB SITE BEFORE THE FIRST INSPECTION. F YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LeENDER OR AN ATTORNEY BEFORE RECORDINGUR NOTICE OF COMMENCEMENT."
as Agent for Owner
STATE OF FLO[i{QA
COUNTY OF 1 V Yiu
The fprgging instrupt@ntt acknowledged before me
thi ay of U^^�-1. 20A by
Name of petl,6n making statement.
Personally Known —IZOR Produced Identification
Type of Identification
of
Commission NdI€:' A ';. MY
BEV
Notary
Signature of 9�oilitractor/License Holder
STATE OF FLOR1i J
COUNTY OF I p Jam_ L
The fprgoing instrwent w^as acknowledged before me
thiL day of lam, 20by
0-9M,5; l i l'
C
Name of pers making statement.
Personally Known 1 OR Produced Identification
Type of Identification
+.a',% BEV L. HADDAD
Com rd f��}`ff, mYrnMMISSION#GGW
1=NJLi_�s EXPIRES: July 6,20211
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