HomeMy WebLinkAbout87 Aqua Ra 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: Pool Enclosure
Address: 87 Aqua Ra Dr Jensen Beach, FL 34957
Legal Description: RIVER WATCH BLK 4 LOT 4 (OR 4090-1015)
Property Tax ID #: 4511-815-0013-000-7
Site Plan Name: River Watch
Project Name: Ramgolam, Peter
Setbacks Front n/a Back: 30' Right Side: n/a Left Side: n/a
Pool enclosure on existing deck and existing footer
HVAC _ Gas Tank _ Gas Piping
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 1479
Cost of Construction: $ 21850.00
_ Shutters
_ Generator
Sq. Ft. of First Floor:
Lot No.4
Block No. 4
_ Windows/Doors
Roof Roof pitch
Utilities: —Sewer —Septic Building Height:
Name Peter Ramgolam
Address: 87 Aqua Ra Dr
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 516-317-8018
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
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 CONSTRUCTfON
LIEN,'_-,,L4W INFORMATION
,
`
DESIGNER ENGINEER: Not Applicable
� — PP
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:
3WNER/ CONTRACTOR AFFIDVIT: Annlieatinn it hprphv marlp to nhtain n nprmit to fin +he
,—ke 4 inetailn+;nn me
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 ermit 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 recordine vour Notice of Commencement_
(�D - A A,
�f) 11q A",
S=nature f Owner/ Lessee/Contractor as Agent for Owner
Signatur of ntractor/License Holder
FLORIDA
STATE F FLORIDA
COUNTY OF St. Lucie
COUNTY OF St. Lucie
The forWg instrument was acknowledged before me
The f_or,�ging instrument was acknowledged before me
thts day of �. (Q i e'61 2E} / by
this day ofC.C�L� 2 Q--,17by
James R. Brann
James R. Brann
Name of person making statement
Name of person ma '
Personally Know i
Personally Known X
ItType
of Identifica on
Notary Public State of Ficrida 7
AP16;6
Type of IdentificationDespina Borre
Produced r<e �s
Produced MY Commission HH 08110
Commission HH 081102
Expims o1�142025
iMy
'a w Expires 011142025
dr
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- Statte� of Florida )
Commission No. ti fiQ1 i)0c:9, (Seal)
Commission N6.H-H C1119 i Uf->.,, (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17