HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr-
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:sop BY
IN AM, St Lucie County a�,a aQ aU' as
Nll WJvd
Building Permit Application ¢IO1
Planning and Development Services 9nn
Building and Code Regulation Division aay
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772).462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Aluminum without concrete III
I PROPOSED IMPROVEMENT LOCATION: I
Address: 9046 Pumpkin Ridge Rd Saint Lucie West, FL 34986
Legal Description: MAIDSTONE LOT 145
Property Tax ID >#: 3322-505-0154-000-2
Site Plan Name: Biedka
Project Name: Biedka
Setbacks Front Back: 71 Left Side: 11.3 Right Side: Q• 5 �
DETAILED DESCRIPTION OF WORK:
Install a 38' 4" x 30' 6" aluminum/screen pool enclosure on slab by pool company.
Lot No.145
Block No.
CONSTRUCTION INFORMATION:
itiona wor to e e orme under tispermd—c ec a apply:
OHVAC 11 Gas Tank []Gas Piping _ Shutters ❑ Windows/Doors
11 Electric 0 Plumbing []Sprinklers 1:1 Generator E]Roof = Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 10,041.50
S Ft. of First Floor: _
Utilities: Sewer 0 Septic
Building Height:
OW N ERAESSEE:
CONTRACTOR:
Name John and Kathleen Biedka
Name: Michael J Newman
Address:9046 Pumpkin Ridge Rd
Company: Pioneer Screen Co. Inc. II
City: Saint Lucie West State: FL
Zip Code: 34986 Fax:
Phone No. 878-7752
Address: 1682 SW Biltmore St
City: Port St Lucie State: FL
Zip Code: 34984 Fax: 772-340-4626
Phone No. 772-340-4393
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: pioheerscreen@msn.com
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:
DESIGNER/ENGINEER: _Not Applicable
MORTGAGE COMPANY: otApplicable
Name:
_
Name:
Address
Address:
Cit RMState:
City: State:
Zip: hone —
_
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: at 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 INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WM YOUR LENclEft dR ANATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
caner/Le se./C ntractorasAgentforOwner . '44��
Sig turedfCo tracto/LicehseHolder
SignatuUFF
STATEORIDA STATE OF FLORIDACOON
ST LUCIE COUNTY OF�, 1`—1 i_:i 2
The forgoing instr ment was acknowledged before me The f r ing instrurrWnt was acknowledged before me
this day of fitAQU� si ZpJ� by this day of /TU 20 by
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Name of person making statement. Name of person making stat ment.
Personally Known OR Produced Identification X Personally Known OR Produced Identification
Type of Identification Type of Identificatio
Produced DRIVER LICENSE ENS Produced
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