HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED + a
Date:
Permit Number: 1 -I� Coll
Building Permit Application=RECEIVEDPlanning
and DevelopmentServices
Building and Code Regulation Division
2300VirginiaAvenue,FortPierceFL34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
Res
PERMIT APPLICATION FOR: Pool enclosure
:¢
Six+ r.' g :'f .m
Address: 9207 Champions Way
Legal Description: Lakes at PGA Village Blk B Lot 8
Property Tax ID #: 3334-501-0086-000-9
Lot No.8
Site Plan Name: Lakes At PGA Village
Block No. B
Project Name: Horizon Pools - Soriano Residence
Setbacks Front N/A Back: 13'6" Right Side: 6.05' Left Side: 6'
s ..
MR
Pool enclosure on existing deck and footer.
Add tionai wor tobe'perrormea un er t is permit—eck
all tat apply:
_ HVAC _ Gas Tank —Gas Piping
_ Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers
_ Generator _ Roof Roof pitch
Total Sq. Ft of Construction: 1246
Sq. Ft. of First Floor:
Cost of Construction: $ 10,400.00 Utilities: —Sewer _Septic Building Height:
;a
fy SSSrr h ��✓ F
� �:
CL
,IX 0.vME
.M^..S •.t • .... •� "t 0.��., W.!�'��'..
Name Mark J. & Lyn D. Soriano
Name: James R. Brann
Address: 30 Somerset Dr.
Company: The Porch Factory LLC
City: Holbrook State: NY
Address: 705 N 39th Street, Fort Pierce, FL 34947
-City: Fort Pierce State: FL
Zip Code: 11741 Fax:
Phone No.
Zip Code: 34947 Fax: (772) 465-3252
E-Mail:
Phone No. (772) 465-6772
Fill in fee simple Title Holder on next page ( if different
E-Mail: admin@theporchfactory.com
State or County License: CBC 1258459
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
L 19 1 - oniq
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: X
Not Applicable
Name: Seaside Engineers
Name:
Address: 4265 60th Ct.
Address:
City: Vero Beach
State: FL
City:
State:
Zip: 32967 Phone (772)202-800B
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
X Not Applicable
BONDING COMPANY: X
Not 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 prionto 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 recordinia vour Notice of Commencement.
ner/ Lessee/Contractor as Agent for Owner
SignsVQFL
Signa re o ontractor/License Holder
STAJ LiAC4�
U��}}
STfiCOUNTY 1-lAG�
OFOS�A
The forgoing instru ent�n_��waas acknowledged before me
?/b
The forgoir �instru ent as acknowledgbefore me
9
this_ ayof 20
this of ✓ 20 b
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
( gnature of Notary Public- State of o i
( I ature of NotaryPublic- State of FI i a )
Commission No. ,. //_il¢tISTINEJJ��ppI9r LLE NotafY YLOR
Fof FldRgs'-NotarY Public
Commission No.66 KRI�SL �MICHELLE TAYL
,e Pub
- ate
Commission # GG 155618
y. o; Expires
"r
o c' State of orida-Notary
I ;: Commission # GG 15561
oe`, My Commission
o er 29, 2021
�y p ac My Commission Expire
REVIEWS
FRO
ZONING
SUPERVISOR
PLANS
VEGETATION ""`§MF
T9it-T'L
MANGROVE
COUNTER
REVIEW
VIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
�`ZI
DATE
COMPLETED
Rev.8/2/17