HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: l0' I I"1 Permit Number:
Building Permit Application ,
Planning and Development Services
.!UNI I , 10IL
Building and Code Regulation Division PiERiAl'i iiF3
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie Count,,-, F!_
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Screen enclosure on existing concrete and footer
PROPOSED IMPROVEMENT LOCATION:
Address: 10307 S Indian River Dr., Fort Pierce 34982
Legal Description: HEERMAN'S S/D THAT PART OF LOT 2 LYING E OF FEC RR R/W-LESS N 99.13 FT AS
MEASURED ON RR (OR 3791-963)
Property Tax ID #: 3529-701-0004-000-3 Lot No. 2
Site Plan Name: Block No.
Project Name: Phillips, Jesse and Kim
Setbacks Front Back: Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK:
Screen enclosure on existing concrete and footer. (?,,,I er1G wo-re2
Haamonai worK to ci errormea unaer finis permit— cnecK au apply:
11HVAC _ Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
11 Electric 0 Plumbing ❑Sprinklers 13 Generator EIRoof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ ;?�C�, QOC7e 00 Utilities: Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Jesse & Kim Phillips
Address: 10307 S Indian River Dr.
Name: James Brann
Company: The Porch Factory LLC
Address: 7356 Commercial Cir 4D
City: Fort Pierce State: FL
Zip Code: 34951 Fax: (772) 465-3252
Phone No. (772) 465-6772
E-Mail: admin@theporchfactory.com
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No. (812) 327-1801
E-Mail: jeephill@gmail.com
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: X Not Applicable
Name: Suncoast Aluminum Engineering LLC
Address: 13630 58th St. North Suite 101
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: Clearwater State: FL
Zip: 33760 Phone: (727)532-9000
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: x Not Applicable
Name:
Address:
City:
Zip: Phone:
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-\
Agent for Owner
STATE PF FLORIDA <Z
COU OF Jrt txe l-e
The fo oing instrument was acknowledged before me
this_ �dayofUrrm. 20 by
4meS fl
(Name of persona edging )
(Signature of Notary Pubtit4tate of Florida )
ntra
STATE OF FLORIDA S��
COUNTY OF
The forgoing instr , ent was acknowledged before me
this I;1 day of 20 I-7 by
(Name of person acknowledging)
( ignature of Notary P ' - State of Floridla)
Personally Known _�OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. al Commission No. pq JOAN ROC
OON /r Commission N FF
BRENDA JOAN �, 907E
+ ,e mission # FF 907848 �1AU mmrssion Expir
Revised 07/15/2014��'�� My Commission Expires gust 06 2019
°'innn°`'� Augusf 06, 2019
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