HomeMy WebLinkAboutBuilding Permit ApplicationiL
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
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �(
Date: Permit Number: U �'
Building Permit Application
P E R Mi I TT i V,!G
Residenti�al-�'°`�` n{`' FL
PERMIT APPLICATION FOR: Poly roof with screen walls
PROPOSED IMPROVEMENT LOCATION:
Address: 7502 Pensacola Rd., Fort Pierce 34951
Legal Description: Lakewood Park - Unit 6 - Blk 68 Lot 7 (Map 13/02S) (OR 701-1236)
Property Tax ID #: 1301-606-0236-000-0
Site Plan Name: Lakewood Park
Project Name: Hartzog, Alice
Setbacks Front 01.4 Back: y$ t Right Side: I L'14 " Left Side: N 1,4
Lot No. 7
Block No. 68
DETAILED DESCRIPTION OF WORK: '
Install poly roof and screen walls on existing concrete slab and footer.
CONSTRUCTION INFORMATION:
Aciaitional work to e partormed under this permit —check
EIHVAC Gas Tank ❑Gas Piping
all
apply:
_ Shutters
❑ Windows/Doors
11 Electric 0 Plumbing
[]Sprinklers
11 Generator
EIRoof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 3,400.00
Utilities:0Sewer
0Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Alice D Hartzog
Name: James Brann
Address: 7502 Pensacola Rd.
Company: The Porch Factory LLC
City: Fort Pierce State: FL
Address: 7356 Commercial Cir 4D
Zip Code: 34951 Fax:
City: Fort Pierce State: FL
Phone No. (772) 466-3818
Zip Code: 34951 Fax: (772) 465-3252
E-Mail:
Phone No. (772) 465-6772
E-Mail: admin@theporchfactory.com
Fill in fee simple Title Holder on next page (if different
State or County License: CBC 1258459
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
a
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
Not Applicable
Name: Suncoast Aluminum Engineering LLC
Add ress: 13630 58th St. North Suite 101
City: Clearwater State: FL
Zip: 33760 Phone: (727)632-9000
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone: _
X Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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„-,
Owner/Lessee/Contractor as
Contractor/License Holder
STATE OF FLORIDA a' J-uMTE OF FLORIDA
COUNTY OF � 6-/� COUNTY OF Jr ,LA a! e-.
The forr oing instru ent was a <nowledge efore me The fo oing ins ument was acknowledged before me
this mday of 20 by this day of �t 20 by
1 \.krneS ! a -no
(Name of person acknowledging)
— ph�aa
(Signature of Notary ic- State of Florid
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
BRENDA JOAN ROO
Revised 07/15/2014 I��+�':`' My Commission Expires
`'�n,00;;;�`� August 06, 2019
J 61me.) 2nr)
(Name of person acknowledging)
(Sigri'atuFe of Notary Public- $Ea>Je of Florida) U
Personally Known �R Produced Identification
Type of Identificatio rod Puced
Commission No. 1Sea1—
BRENDA JOAN RC}1PN
My Commission b
August 06, 20
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