HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �' R • \h Permit Number:
R E C IVE9)
Building Permit Application OCT n 6 2017
Planning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Screen Enclosure - existing deck and footer
PROPOSED IMPROVEMENT LOCATION:
Address: 8201 S Indian River Rd., Fort Pierce 34982
Legal Description: 18 36 41 N 94.89 FT OF S 389.25 FT OF GOVT LOT 3 LYG E OF FEC 111M-LESS RD RM AND LESS W 408 FT (1.11 AC)
(OR 1693-735; 20017-1802)
Property Tax ID #: 3518-313-0001-150-3 Lot No.
Site Plan Name: Block No.
Project Name. American Pools - Ashley Residenc
Setbacks Front NIA Back Right Side: ' Left Side:
DETAILED DESCRIPTION OF WORK:
Pool enclosure on existing deck and footer.
Aaaitionai worKto De errorrnea unaertnis permit —cnecK an apply:
�HVAC Ei Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers E] Generator Roof Roof pitch
Total Sq. Ft of Construction: S�Ftj of First Floor:
Cost of Construction: $ 10,680.00 Utilities: L__ISewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Robert J and Kriste K Ashley
Name: James Brann
Company: The Porch Factory LLC
Address: 8201 S Indian River Dr.
Address: 7356 Commercial Cir 4D
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
City: Fort Pierce State: FL
Phone No. (772) 530-6289
Zip Code: 34951 Fax: (772) 465-3252
Phone No. (772) 465-6772
E-Mail: rjash2000@gmail.com
Fill in fee simple Title Holder on next page ( if different
E-Mail: admin@theporchfactory.com
from the Owner listed above)
State or County License: CBC 1258459
If value of construction is $2500 or more, a RECORDED Notice of Commencemen s required.
�l�'1 /, J9�,'4 � I`I IT) • 0
11
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SUPPLEMENTAL CONSTRUCTION. LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ 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:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
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 recordine vour Notice of Commencement.
re of
as Agent for Owner
nse Ho
IFLORIDA STAF FLOOFkc&C',t.C� COUNTY OF tty'G FJ�.G�
The for oing instrum t wa acknowledged before me
this ay of 20 /Jby
(Name of person acknowledging)
(Si ature of Notary Pu li - State of Florida )
Personally Known OR Produced Identification
Type of Identification roduceci
Commission No.
Revised 07/15/201
The forgoing instrurrilprit was acknowledged before me
this �pday of 20 I!2 by
�neS� K ,Tdt'ann
(Name of pe acknowledging)
4ture of Not4j blic- State of Florida
Personally Known OR Produced Identification
Type of Identification Produced
BREN( )LOAN ROONE "•,••
g�s Commission No. ur��ru ,. BR
COmmlSsion 8 FF Q07848 Ile
�:�+'`-�r��II�cENDA RC�ONI
My Commission Expires 4 Commission N FF 907848
August 06, 2019
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