HomeMy WebLinkAbout9631 Knollwood Ln - Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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
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Address: 9631 Knollwood Ln
Legal Description: Meadowood - Unit Five - Lot 1 (OR 1055-2960)
Property Tax ID #: 1328-801-0001-000-6 Lot No. 1
Site Plan Name: Meadowood Unit Five Block No.
Project Name: GHO Lot #1 Meadowood
Setbacks Front NIA Back: 15' Right Side: 53.6' Left Side: 42.3'
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Screen enclosure on existing deck and footer
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Additional work to be pertormed under this permit— Check all tat appy:
_ HVAC _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Roof pitch
Total Sq. Ft of Construction: 190 Sq. Ft. of First Floor:
Cost of Construction: $ 3,300.00 Utilities: _ Sewer _ Septic Building Height:
AC'DR.
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Name GRBK GHO Meadowood LLC Name: James R. Brann
Address: 590 NW Mercantile PI Company: The Porch Factory LLC
City: Port St. Lucie State: FL Address: 705 N 39th Street, Fort Pierce, FL 34947
Zip Code: 34986 Fax: City: Fort Pierce State. FL
Phone No. (561) 688-2020 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
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
DESIGNER/ENGINEER: _ Not Applicable
Name: Seaside Engineers
MORTGAGE COMPANY: X Not Applicable
Name:
Address: 4265 60th 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
commencine work or rpcnrdinp vnur Nntirp of r'nmmonromont
C� - A li-t'
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 fgg��' g instrum nt was ac owledged before me
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The fo;r, �o}}`ng instru ent was a knowledge efore me
/
thisa<ay of by
ayof- 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
4iigature
(S nature of Notary Public- State of Florida)
of NotaryPublic- State of Florida)
Commission No. W��I
66 �`S3f MICHELLE '.
�r KR(�?I)E MICHELLE TAYLCC
mission No. ¢` s ; ($ea�Tl
Flonda
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Commission nt GG 1556
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October
29, 2021
REVIEWS
FRONT
VEGETATION
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SEA TI1tTL
IIANGR'V�
Z
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
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