HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l
Dated \4\
Permit Number:
_
RECEIVED
.
Building Permit Application
DEe 3 9)wi9
Planning and Development Services
ST. Lucle County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential X
PERMIT APPLICATION FOR: Pool enclosure
PROPOSED IMPROVEMENT LOCATION: III
Address: 123 Queen Frederika Ct.
Legal Description: Queens Cove - Unit 1 - Elk 4 Lot H (OR 4237-2758)
Property Tax ID #: 1414-701-0035-000-0
Site Plan Name: Queens Cove Unit 1
Project Name: Cox, Tammie
Setbacks Front N/A Back: 10.08'
Right Side: 10.10' Left Side: 11_87'
Lot No. H
Block No. 4
DETAILED DESCRIPTION OF WORK: III
Pool enclosure on existing deck and footer.
CONSTRUCTION INFORMATION: III
—HVAC _Gas Tank _Gas Piping
_ Electric _ Plumbing —Sprinklers
Total Sq. Ft of Construction: 990
Cost of Construction: $ 11,800.00
_ Shutters
— Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof Roof pitch
Utilities: _Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Tammie R. Cox
Name: James R. Brann
Address: 123 Queen Frederika Ct
Company: The Porch Factory LLC
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No.
Address: 705 N 39th Street; Fort Pierce, FL 34947
City: Fort Pierce State: FL
Zip Code: 34947 Fax: (772) 46"252
Phone No. (772) 465-6772
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: admin@theporchfactory.com
State or County License: CBC 125B459
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Seaside Engineers
MORTGAGE COMPANY: X Not Applicable
Name:
Address: 4265 60th Ct.
Address:
City: Vero Beach State: FL
Zip: 32967 Phone (772)202-Boos
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: X 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Signatur Own Lessee/Contractor as Agent for Owner:-natureoContractor
License Holder
STATE ORIDA
OF FLORIDA
COUNTY OF St. Lucie
UNTY OF St. Lucie
The fyyrg�o,ing instr ent was a knowledge before me
this (r�uday of _4I� 20 / by
The fi�r�p Ing instru ent was aSknowledged before me
this f0'�day of I))hI / . 20Z2 by
James R. Brann
James R. Brann
Name of person making statement
Name of person making statement
Personally Known X OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
( ignature of Notary Public -State Florida)
S' nature of Notary Public -St o
AP°b
Commission No. GG 15„u,,KRIESea4 MICHELLE TAYL
Ryp�a„ K STINE M� da NLotaryLF
mmission No. GG 155 1-. atg�+�on # GG 15561
a State of Florida -Notary Pub
= N GG 15561
i %'S CMy CtoSmmission Expire
-
_ Commission
Expire„?o,
oe` 2021
October 29,
e`c M Commission
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o
REVIEWS
FRON
RVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17