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Date:
Permit Number:
•
Planning and Development Services Building Permit Application
Building and Code Regulation Division
1300 Virginia Avenue, Fort pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Poolenclosure
Address: 8612 Cobblestone or
legal Description: Creekside Plat No. 1 Lot 69
Property Tax ID #: 2326-600-0074-000-8
Site Plan Name: Creekside Plat No. 1
Lot No. 69
Project Name: Horizon Pools - June Residence
Setbacks Front N/A Back: 13'10" Right Side: 12.71'
B Left Side: 12.59'
DETAILED DESCRIPTION CIF WORK t 4' .
Pool enclosure on existing deck and looter
— HVAC _ Gas Tank Gas Piping P B _ Shutters
_ Electric — Plumbing — Sprinklers — Generator
Total Sq. Ft of Construction: 1231
Sq. Ft. of First Floor:
Cost of Construction: $ 10,800.00 —
Utilities: —Sewer —Septic
Edward and Karen June
Address: 8612 Cobblestone Or
City: Fort Pierce State: FL
Zip Code: 34945Fax:
Phone No. (772) 405-1130
E-Mail: horizonpools@att.net
Fill in fee simple Title Holder on next page ( If different
from the Owner listed above)
Block No.
_ Windows/Doors
Roof Roof pitch
Building Height:
Name: James R. Brann
Company: The Porch Factory LLC
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: admin@theporchfactory.com
State or County License: CBC 1258459
If value of construction is $2500 or more, a RECORDED Notice of commencement
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION`.
Name: Seaside Engineers
Address: a2ss sotn cc
City: Vero Beach State: FL
Zip: Phone(772 2202-8008
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable Name:
I City: 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.
whichcis inconflicmt with anes no y applicable represt is entation
LAsssociation rules authorize
bylaws or and covenants that maydestricto 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 permitI 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 Commpnramant
as Agent for Owner
STATE OF FLORIDA
COUNTY OF St. Lucie
The f rgping instr ent was aFFknowledged before me
thisday of 20.4770by
James R.
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
of
Commission Nq o ., KRISTINE Mlf¢A6p LE TAYLOR
i Flori Wary Public
Commission N GG 155618
••. _...I "I My Commission Exnire,
REVIEWS
COUNTER I REVIEW I REVIEW
Rev.
STATE'6F FLORIDA
COUNTY OF St. Lucie
The forging ins�yment was cknowledged before me
this siAdI aV of .Uyn! rn v 20 ad by
James R. Brann
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
Produced
I ature of Notary Pu
p..
Al KRIS TINE HELLE TAYL
Commission No. �` cSrate fd.{�prida�Notary Put
Comhhiilss(jon H GG 15567
MY Commission Expire!
PLANS I
REVIEW VREV EWON I SREV EWLE I MANGROVE