HomeMy WebLinkAbout3901 Ave S - 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: Poly roof screen enclosure
-OR UP.Q*D'iMPRO1/EIVIENT,LO,CATION
Address: 3901 Avenue S Fort Pierce, FL 34947
Legal Description: Sunland Gardens Blk 8 Lots 8, 9, and 10 (0.62 AC) (OR 204-2767: 267-2356: 1572-1953)
Property Tax ID #: 2405-601-0150-000-0
Site Plan Name: Sunland Gardens Blk 8
Project Name: Minus, Benjamin
Setbacks Front n/a Back: 46'
Poly roof screen enclosure on existing deck and footer.
amonai worK t0 De perrormea
_ HVAC _ Gas Tank
Electric _ Plumbing
Total Sq. Ft of Construction: 175
Cost of Construction: $ 5650.00
Right Side: n/a Left Side: n/a
unaer tnis permit — cl
_ Gas Piping
_ Sprinklers
all tnat apply:
_ Shutters
_ Generator
Sq. Ft. of First Floor: _
Utilities: —Sewer _ Septic
Name Benjamin Minus
Address: 3901 Avenue Sq
City: Fort Pierce State: FL
Zip Code: 34947 Fax:
Phone No.772-971-5686
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Lot No. 8,9,10
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 is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFO RMATION
.. _. .,._,. ..,.,...._ _ .,.:,. ._,>..r . .:. ........ .. :; _<_.. . ._ � ,.. ;
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
commencing work or recording vour Notice of CommpnrpmPnt_
C� - A /��'
0 /? A",
-
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�������ing instr ent was ac! nowledged before me
The for ing ins ument was cknowledged before me
this GOr"aay of / 20XQ by
thisP9y of "nr r • 20�rJby
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
�d
�4 1"I'vVilln- ndvn LI
(' nature 91A. atar b oft
KRISTINE MICItELLt TAPublc
Commission OP' s��_State of Florida ¢ YI
S _ tale 7,rsslon # F�� 55618
�- My Commission Expires.
e 2021
October 29,._____ _
(Sig ure of NotaryTAAWi Rat�f�lof' _
�--�"—""—'�— RI TINE MII �ELLETAYLOR i
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Commission No. ��%k �� State of g�a( votaw Public
�' _ Com Ssior.��r GG 155618
My Co nr or Fxpir
Octobe, 29, 2 02 1
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Kev. 8/1/1/