HomeMy WebLinkAbout 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
FI 7POSED I11t(PRt 1I lUl #UT L ?CATIQN � s x" k
,
Address: 8001 Kenwood Rd
Legal Description. Lakewood Park - Unit 5 - Blk 48 Lot 29 (MAP 13/02S) (OR 1804-96)
Property Tax ID #: 1301-605-0229-000-5
Site Plan Name: Lakewood Park Unit 5
Project Name: Grow, Scott & Nikki
Setbacks Front N/A Back: 39.9'
Screen enclosure on new slab with footer.
Right Side: N/A Left Side: 14.16'
Lot No. 29
Block No. 48
Haamonal worK to oe performed 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: 375 Sq. Ft. of First Floor:
Cost of Construction: $ 7,700.00 Utilities: _ Sewer _ Septic Building Height:
Name Scott Grow and Nicole Poirier
Name: James R. Brann
Company: The Porch Factory LLC
Address: 8001 Kenwood Rd.
City: Fort Pierce State: FL
Zip Code: 34950 Fax:
Phone No.
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: scottwgrow@yahoo.com
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
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTIONLIEN LAW INFORMATION
_ .. ..... , :
DESIGNER/ENGINEER: _ NotApplicable licable
App
Name: Seaside Engineers
Address:4265 both Ct.
City: Vero Beach State: FL
Zip: 32967 Phone (772) 202-8008
MORTGAGE COMPANY: X Not Applicab le
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
BONDING COMPANY: X Not Applicable
Name:
Address:
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 your Notice of Commencement.
(�D -_A A_,_
Si nature f Owner/ Lessee/Contractor as Agent for Owner
S E OF FLORIDA
COUNTY OF St. Lucie
The ELI-Il ayiooftr ment was apknr , 20.10by me
��aa jY�2f(—. Y
James R. Brann
Name of person making statement
Personally Known X OR Produced Identification _
Type of Identification
Produced
a — J-A-- - - -
ignature of Ngtt i
KRISTINEMIC _LLETAYLOR
Commission Noa o °%':,State of Flori( 'ary Public
Commission G 155618
My Commission Expires
October 29, 2021
REVIEWS I FRONT I ZONING
COUNTER REVIEW
RECEIVED
COMPLET
Rev. 8/2/17
Holder
STATE)OF FLORIDA
COUNTY OF St. Lucie
The f r . ins ment was acknowledged efore me
this Y day of _,20.7Vby
James R. Brann
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
Produced
(Sig ature of Notary Public- Stoat _I
KRISTINE M CH LLE TAYLOR
Commission No. .,PA°F'.s;., otary Public
State of (See
Commission # GG 155618
�'- My CommissionExpires1
n,tnber 29,
SUPERVISOR I PLANS I VEGETAT _SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW I REVIEW REVIEW