HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
S _ J -.
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Building Permit Application
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 x
PERMIT APPLICATION FOR: Screen enclosure on existing deck and Tooter.
PROPOSED IMPROVEMENT LOCATION:
Address: 2959 Yates Road Fort Pierce, FL 34981
Legal Description:O'Brien Subdivision (PB 68-35)Lot 5(1.18 AC)
Property Tax ID#: 2419-802-0005-000-9 Lot No.5
Site Plan Name: O'Brien Subdivision Block No.
Project Name: O'Brien, Clyde
Setbacks Front n/a Back: 130,51' Right Side: n/a Left Side: n/a
DETAILED DESCRIPTION OF WORK:
New screen enclosure with existing deck and footer.
CONSTRUCTION INFORMATION:
Additional work to be pertormed under!his 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: 210 Sq. Ft. of First Floor:
Cost of Construction: $ 1800.00 Utilities: -Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Clyde O'Brien Name: James R. Brann
Address:5065 NW Edgarton Ter Company: The Porch Factory LLC
City: Port St-Lucie- _ -- — _ 705 N 39th Street, Fort Pierce,-FL 34947
State: F� Address:
Zip Code: 34983 Fax: City: Fort Pierce State.FL
Phone No.772-201-4173 Zip Code: 34947 Fax: (772)465-3252
E-Mail:ceo2459@gmail.com Phone No. (772)465-6772
Fill in fee simple Title Holder on next page(if different E-Mail: admin@theporchfactory.com
from the Owner listed above) State or County License: CBC 1258459
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION`LIEN.LAW INFORMATION L
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name:Seaside Engineers Name:
Address:4265 both Ct. Address:
City: Vero Beach State: FL City: State:
Zip: 32967 Phone(772)202-8008 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 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
cornmencing work or recording our Notice of Commencement.
C� - A A, 0 '/7 /"��
S=nature f Owner/Lessee/Contractor as Agent for Owner Signatur=ofntractor/License Holder
FLORIDA STATEDA
COUNTY OF St. Lucie COUNTY OF St. Lucie
The f r g instru ent was acknowledged before me The forg ' g instru en was acknowledged before me
this ay of ✓ 20a by this y of 1-1 C✓ 20-20 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
--
(Wnature of Notary Public _atQ;of Fllgrid I)dE MICHELLE TAYL I i nature of Notary Public-State ofFlorida
.SF of „ ' F IS FINE MICHELLE n OP
GG I� o State lorida Notary Pu lic I'
Commission No. - ccSeal;sion tt GG 1556 GG .16 (a/� - Florida-No tar I ,blip
( ) EC mission No. \ _ Sea!
--,r i!iy Commission Expire �� fission '= GG 1 1
October 29, 2021
My Coi7irr is,ion i ..
--- „ October 2 .( . I i11,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17