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HomeMy WebLinkAbout5816 Buchanan Dr - 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 Address: 5816 Buchanan Dr Legal Description: Indian River Estates - Unit 02 - Blk 9 Lots 22 and 23 (0.91AC - 39,600 SF)(MAP 34/1 1S) Property Tax ID #: 3402-603-0071-000-2 Site Plan Name: Indian River Estates Project Name: GHO Lot BUCHAN22 Setbacks Front N/A Back: 153.7' Screen enclosure on existing deck and footer Right Side: 55.3' Left Side: 55.3' Haaitionai worK to De perrormea unaer tnis permit — cnecK an tnat apply: _ HVAC _ Gas Tank —Gas Piping _ Shutters _ Electric _ Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: 220 Sq. Ft. of First Floor: _ Cost of Construction: $ 3,200.00 Utilities: —Sewer _Septic Name Daniel and Christine Lafleur Address: 2060 SE St Lucie Blvd City: Stuart State: FL Zip Code: 34996 Fax: Phone No. E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) Lot No. 22 & 23 Block No. 9 _ 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. UESIUNER/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 Counter 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 recordine vour Notice of Commpncprnpnt. c� - A /L_,_ 0 "q /A", SAnature f Owner/ Lessee/Contractor as Agent for Owner Signatur=ofntractor/License Holder FLORIDA STATEDA COUNTY OF St. Lucie COUNTY OF St. Lucie The forgping iinstrurpgntwas cknowledg d before me ✓ The fo ing instru ent was cknowledged before me . � this ay of D�2h1 , 200 by this(/ day of t" . 20.7 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 t nature of Notary Public- State of Flora (Si ature of Notary Public- State of Florida) ; "= G .--t�� ..... Commission No. G G 19�Sw E( rIS51on No. G pav vu� KRIS II �IENiICHELLEI�I'CQIR _o State of Florida Notary /j GG 113 Publicly e a Fu�� �" �IOtI s' o• Commission ' ` ,mm U REVIEWS gg FRONT w ZONtNG t ar 90 SU{ kv?119bR., 1� , P.L-7ANS VEGETATION \,�� SEA 7tJ Tl) O C ' MANGROVE Y COUNTER• �REVIEiN `'REVIEW REVIEW REVIEW R�VIE_ REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 ov�