HomeMy WebLinkAboutBUILDING 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
PROPOSED IMPROVEMENT LOCATION:
Address: 911 Jackson Way Fort Pierce, FL 34949
Legal Description: COASTAL COVES -UNIT 1- LOT 21
Property Tax ID #: 1423-802-0023-000-1 Lot No. 21
Site Plan Name: Stephany Powers Block No.
Project Name: Stephany Powers
Setbacks Front Back: 18.2 Right Side: 11.7 Left Side: 11.6
DETAILED DESCRIPTION OF WORK:
Pool enclosure on existing deck and footer
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_ HVAC _ Gas Tank _ Gas Piping — Shutters _ Windows/Doors
_ Electric _ Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 21,700.00
_ Sprinklers
_ Generator
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
Roof Roof pitch
Building Height:
OWNERAESSEE:
CONTRACTOR:
N am e Stephany Lyn Powers
Name: James R. Brann
Address: 132 Munsonville RD
City: Gloversville State: NY
Zip Code: 12078 Fax:
Phone No.518-466-6919
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
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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 INFORMATION:
DESIGNER/ENGINEER: Not Applicable IMORTGAGE COMPANY• X Not A licable
Name: Seaside Engineers
Address: 4265 60th Ct.
City: Vero Beach State: FL
Zip: 32967 Phone (772) 202-8008
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
• — pp
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: X Not Applicable
Name:_
Address:
City:_
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 Commencement.
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 Bing instrument was acknowledged before me
day L1 G1 20� by
The foriing instrument was acknowledged before me
this c 20, I by
this of
_day of
�
James R. Brann
James R. Brann
Name of person making statement
Name of person makinM!E
Personally Known fi a'
Personally Known X OR
Type of IdentificatA
Public State of Florida
Type of Identificationc State of F
rre
ProducedNotary
Despintli orre
produced ion HH 081
.w My Commission HH 081102
42025
1 Expires 01I142025
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
Commission No. O'n (Seal)
Commission No. i 0!?r' JQ�3,, (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