HomeMy WebLinkAboutBUILDING PERMIT APPLICATION7
ALL APPLICABLE INFO MUST'IJAQIGIPLETED FC
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Date: Q6 rl rnJgn�h'
RECENED
IR % 6 2010
uildin
Planning and Development Services Permitting Depart
5t. Lucie Coun
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 ,Fax: (772) 462-1578
APPLICATION TO BE ACCEPTED
Permit Number:
IIp .c�5b aPR,.2 s ?ore
Permit aation
lent Permitting pe prt�1ent
PERMIT APPLICATION FOR: Pool Enclosur
PROPOSED IMPROVEMENT LOCATION:
Address: 5108 E Seminole Rd., Fort Pierce, FL 34951
Legal Description: Lakewood Park -Unit 3-Blks 29 and
Commercial Residential x
Property Tax ID #: 1301-603-0117-000-1
Site Plan Name: Lakewood Park - Unit 3
Project Name: Trombley, William Q
Setbacks Front N/A Back: Right
DETAILED DESCRIPTION OF WORK:
Pool enclosure on existing deck and footer
on existing deck and footer
(Map 13/14N)(0.73 AC - 31,709 SF)(OR 4065-2381)
Left Side: L�
Lot No. 29 & 30
Block No. 20
CONSTRUCTION INFORMATION: I
itiona wor to je ne orme under this permit— ch c a app y:
11HVAC LJ Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator g Roof Roof pitch
Total Sq. Ft of Construction: 1961 S Ft. of First Floor:
Cost of Construction: $ 9,300.00 Utilities: Sewer 0 Septic Building Height:
I
OWNER/LESSEE: 14
CONTRACTOR:
Name William G. and Elizabeth E. Trombley I
Name: James Brann
Address: 5108 E Seminole 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) 205-0335
Code: 34951 Fax: (772) 465-3252
E-Mail: betty8269@yahoo.com
IZip
phone No. (772) 465-6772
Fill in fee simple Title Holder on next page (if different
i admin the orchfacto com
E-Mail: @ P ry
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.
I
SUPPLEMENTAL CONSTRUCTION LIEN '�AW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name: SuncoastNuminumEngineeringl-LC
Name:
Address: 13630 58th St. North Suite 101
Address:
City: Clearwater State: FL
City: State:
Zip: 33760 Phone: (727)532-9000 I
I
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: Applicable
Name:
_Not
Name:
Address: I
Address:
City: I
City:
Zip: Phone:
Zip: Phone: I
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I certify that no work or installation has commenced pri I r to the issuance of a permit.
St. Lucie County makes no representation that is grantin�� 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,l 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 fro Imm undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs,lscreen 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 obtai6 financing, consult with lender or an attorney before
commencing work or recording our Notice of Comm ce
A AA,-
(I"Ls
Si ature Contractor/License Holder
Si ature Owner/Less e/Contractor as Agent for Owner
OF FLORIDA
OF FLORIDA
COUNTY OF c� LA "le—
COUNTY OF _S �(
The forgoing instrut was acknowledg ed efore me
thisoZ�m n
ay of 20 f-by
The for oing instrument was acknowledged before me
this of ) 20. L by
_•day
_ J,rr. R • 6(anrl
R, . 61yn0
(Name of person acknowledging)
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aa&
(Name of person acknowledging)
_���jot4j�A?
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nature of Notary Public- State o orida)
(i nature of Notary Public- State of Flo I )
Personally Known _X OR Produced Identification
Personally Known Y OR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission No. I
mission No. 6G /-Le/ S� Seal
KRISIINEMICHELLETAP
3o`0R ate of Florida -Notary i
blic
KRISTINE MICHELLETAYL
Pubi
�,// a -Notary
Revised 07/15/2014 My Commission2 x2piFes =_ _Commission # G
/•;;�;;;°\�� October 29, I :,� e'c My Commission202�
':� October 29,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVI W REVIE REVIEW REVIEW REVIEW
DATE
COMPLETE
L4-z-A 9,
INITIALS
I 5-3-
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