HomeMy WebLinkAboutBuilding Permit ApplicationALL AF
Date:
FOR APPLICATION TO BE ACCEPTED
Permit Number:
Permitting ��t- ZU-t-L./ 15
Building Permit Applicatior
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
APR 2 3 2020
ST. Lucie County, Pern
tesidential x
PERMIT APPLICATION FOR: Pool Enclosure II
PROPOSED-JMPROVEMENT LOCATION;;
Address: 450 Campbell Rd.
Legal Description: Corbin Acres Lot 5 (6.149 AC)(OR 1227-117)
I Property Tax ID d: 2309-800-0005-000-5
Site Plan Name: Corbin Acres
IProiect Name: Corbin, Teresa
Setbacks Front NIA Back: 26527' Right Side: 325.76' Left Side: 53.0'
;DETAILED DESCRIPTION OF WORK:
I Pool enclosure on existing deck and footer
Lot No.5
Block No.
CONSTRUCTION INFORMATIO(y
ffiona wo-T t�orme under this
permit- check all
that apply:
_ HVAC _ Gas Tank
—Gas Piping
_ Shutters
_ Windows/Doors
_ Electric —plumbing
_ Sprinklers
_ Generator
_ Roof Roof pitch
Total Sq. Ft of Construction: 936
Sq.
Ft. of First Floor:
Cost of Construction: $ 9,240.00
Utilities:
—Sewer _Septic
Building Height:
OWNER/LESSEE:
,.,,,
CONTRACTOR:
Name Teresa H. Corbin
Name: James R. Brann
Address:450 Campbell Rd.
Company: The Porch Factory LLC
City: Fort Pierce State: FL
Zip Code: 34945 Fax:
Phone No. (772) 4614510
Address: 705 N 39th Street, Fort Pierce, FL 34947
City: Fort Pierce State: FL
Zip Code: 34947 Fax: (772) 465-3252
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 1258459
I If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL GONSTRUCTIONIIEN.LAWIIVFORMATION
.fi rk •,fa
t`° ° {`"
DESIGNER/ENGINEER: _ Not Applicable
Name: Seaside Engineers
MORTGAGE COMPANY: X Not Applicable
Name:
Address: 4265 Both Ct.
Address:
City: Vero Beach State: FL
Zip: 32967 Phone (772)202-8008
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.
Signa er/Lessee/Contractor as Agent for Owner
Contractor/License Holder
STE
STA FLORIDA
F FLORIDA
COUNTY OF St. Lucie
COUNTY OF St. Lucie
The ford�o}.y�g instru nt wa acknowledged before me
'�r4ay
The foWiing instru nt was acknowledged before me
this of-& m 2G� by
this R' WW itlay of j�jn 1 •2o.Q0 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
(' nature of Notary Public-Str-4,
of Notary PubIc-State of F(pfld$TINE
,K ISTINE MICRCommission
;:° a }Z State of Floridaommission
No. GG 155618rI of Florida-Notarn
MICHELLE T1;8r
No.GG 155618
N GG 1.
567
;_ Commission q
% t
Y Commission Ex-
Tres
a My Commissi
October 29 202"'niu��`
October 2
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17