HomeMy WebLinkAbout5107 Indian Bend Ln - Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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 with 3 fan beams on existing deck and footer
Address: 5107 Indian Bend Ln Fort Pierce, FL 34951
Legal Description: HOLIDAY PINES S/D-PHASE II -A- LOT 190 (MAP 13/13N) (OR 3531-350)
Property Tax ID #: 1312-800-0021-000-0
Lot No. 190
Site Plan Name: Holiday Pines Block No.
Project Name: Haukap, Robert & Brenda
Setbacks Front Back: Right Side: Left Side:
Poly roof with 3 fan beams on existing deck and existing footer
_ HVAC _ Gas Tank _ Gas Piping
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 675
Cost of Construction: $ 9700.00
_ Shutters _ Windows/Doors
Generator _ Roof Roof pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _ Septic Building Height:
Name Robert & Brenda Haukap
Address: 5107 Indian Bend Ln
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No.425-931-2844
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.
DESIGNER/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 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
commencine work or recordine vour Notice of Commencement_
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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 for ling instrument was acknowledged before me
The f r I g instrument was acknowledged before me
this clay of 1.--flAi—c_ — 2Q� by
m.
thi day of jGt i Zi y
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James R. Brann
James R. Brann
Name of person making statement
Name of person making statement
Personally Known X OR Produced Identification
Personally K wn X
Type of Identifica WV�A/W�I�PIe� r ..
Type of I ti t'o ,�s+ Notary Public State d Florida
Produced NOtaryPu�e to of Flcrida
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Produce Derna BorreMymmission
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My Commission HH 081 t 02
HH 081102
Exps 01/14/2025
Expires01/14/2025
(Signature of Notary Public- State of Florida)
(Signature Public- State of Florida )
4-t-( � 1 CC)
'of�Notary
Commission No. (Seal)
Commission No. (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