HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICAB E nIIN''/, FOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED u q
Date: i off' ! G Permit Number:
SCANNED =RECEIVEDi-I "M I BYSt. Lucie County Buildin Permit A licatg pp
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XXXXXXXX
PERMIT TYPE: GAy ry\
`PY°1tOPMED IMPROVEMENT
Address: 11101 South Indian River Drive
Property Tax ID #: 3532-503-0018-000-6
Site Plan Name: Christopher & Angela Riendeau
Project Name: Riendeau Residence
Installation of Aluminum Insulated Roof with Screen Walls
Lot No.4
Block No. 2
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 12700.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
GOIUTRACTOR u'
w
NameChristopher & Angela Riendeau
Name: Craig Rice
Address:11101 South Indian River Drive
Company: Pioneer Screen LLC
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No.561-333-9519
Address:3290 SE Slater Street
City: Stuart State: FL
Zip Code: 34997 Fax: 772-283-3028
Phone No772-283-9197 Ext. 107
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
If value of construction is 52500 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
C014g CTION'LIEN LAW INFORMATION:
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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 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
WfrH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
n..
as Agent for Owner I Signature of tractor/License Holder
STATE OF FLOr' STATE OF FL
COUNTY OF COUNTYOFO FLFi1.��rj
The f rj4ng instrum nt was acknowledge before me
thhiiits/ day of OV 20ZE by
Name ovrson making statement
Known _L.,-�011 Produced Identification
Type of
(Signature of Notary Publicn State
of Florida )
Commission No (Seal)
The forting instrument was acknowledged before me
thiW day of &U V . 20,1 by
rq keir.
Name of Wson making/statement.
Personally Knowny OR Produced Identification
Type of Identification
(Signature of Notary Public- State
of Florida )
Commission No. �I.DLO .J (Seal)
REVIEWS I COUONT TER .I RENING VIEW W I SUPERVISOR REVIEW I PLANS
REVIEW
111:141111TIC6
VEGETATION SEATURTLE MANGROVE
REVIEW REVIEW REVIEW
MY COMtdISSIONkGG 009363 MY COMMISSION k GO 009363
EXPIRES: July 6, 2020 - EXPIRES: July 6, 2020
ided TrimNotary PuhGc Undervmters eo: " bonded Thor Notary Public underwriters