HomeMy WebLinkAbout5419 Stately Oaks St - Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
0 R�
p ., ° wilding Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Screen Enclosure
PROPOSED IMPROVEMENT LOCATION:
Address: 5419 Stately Oaks St.
Property Tax ID #: 3404-711-0004-000-0 Lot No.16
Site Plan Name: Southern Oak Estates First Replat Block No.
Project Name: Horizon Pools - Felch Residence
DETAILED DESCRIPTION OF •'
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping Shutters _ Windows/Doors Pond
Electric _ Plumbing _,Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 990
Cost of Construction: $ 15,200.00
Sq, Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE;
CONTRACTOR:
Name Brian Felch and Carl Cahill
Name:James R. Brann
Company:The Porch Factory
Address:5419 Stately Oaks St.
City: Fort Pierce State: FL
Address: 705 N 39th St.
Zip Code: 34981 Fax:
City: Fort Pierce State: FL
Phone No._(580) 445-8145
Zip Code: 34947 Fax: (772) 465-3262
Phone No (772) 465-6772
E-Mail:
Fill in fee simple Title Holder on next page ( if different
E-Mailadmin@theporchfactory.com
from the Owner listed above)
State or County License CBC 1258459
IT value oT construcnon is z5uu or more, a KECOKDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name: seasldeEnginears
Name:
Address:4266 such ci.
Address:
City: Vero Beach State: F4
City: State:
Zip: 32067 Phone(772)202.6000
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorne before commencing work or recording our Notice of Commencement.
ignatu a of Owner/ Lessee/Contractor as Agent for Owner
S"(nature Of Contractor/License Holder
fiATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF St, Lucie
COUNTY OF St. Lucie
Sworn to (or affirmed) and subscribed before me of
SW9rn to (or affirmed) and subscribed before me of
1( h ical Pres a o5 Online Notarization
this �ay 202d by
YMicl Presen or Online Notarization
this by
of
of _�0►'�, 2021
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
Prod ced
i
i nature o N
Commission t _
KRISTINE MICHE L TAYLOR
��IPftY P(,� i�
o c. State of Florida? o ry Public
.= _ #
ssion 155618
(r ature of
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_ Commfission GG 155618
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DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20