HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 'Ica Permit Number:
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Building Permit Application SCANNED
Planning and Development Services BY
Building and Code Regulation Division �,,•.
2300 Virginia Avenue, Fort Pierce FL 34982 S' Lude minty
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Screen enclosure with new footer and pavers
PROPOSED IMPROVEMENT LOCATION:
Address: 9500 Poinciana Ct., Port St. Lucie 34951
Legal Description. Monte Carlo Country Club -Unit Two -Lot 192 (OR 4137-1547)
Property Tax ID #: 1334-502-0073-000-2
Site Plan Name: Monte Carlo Country Club
Project Name: Hodas, Thomas & Sallye
Setbacks Front NIA Back: 25.12'
DETAILED DESCRIPTION OF WORK:
Screen enclosure on new footer
Right Side: 11.50' Left Side: 38'
r
Lot No.192
Block No.
CONSTRUCTION INFORMATION:
AdditionalworKtoD,e,gerformed under tis permit —c ec
❑Tank ❑Gas Piping
all
apply:
Shutters
❑ Windows/Doors
HVAC
Gas
_
❑Electric 0 Plumbing
❑Sprinklers
❑Generator
Roof Roof pitch
Total Sq. Ft of Construction: 954
Sq. Ft. of First Floor:
Cost of Construction: $ 13,775.00
Utilities: Ln�
Sewer
❑
Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Thomas and Sallye K. Hodas
Name: James Brann
Address: 9500 Poinciana Ct.
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) 287-2020
Zip Code: 34951 Fax: (772) 465-3252
E-Mail: tomkat007@comcast.net
Phone No. (772) 465-6772
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 commencement is requires.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name: Seaside Engineers
Name:
Address: 426660th a.
Address:
City: Vero Beach State: FL
City: State:
Zip: 32967 Phone: (772) 202-2006
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: Not Applicable
Name:
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 recording vour Notice of Commencement.
re
as Agent for Owner
Contra
STAZg_Of FLO� ,IDA `STATE OF FLO IDA
COUNTY OF c?h L,L(,(1 Q COUNTY OF c. LU 4P�
The for��o``ing instrum t was acknowledged before me The forgoing instrument was acknowledged before me
this )'relay of 20 Mby this Jay of V-[,(tea , 20 fg by
Jawli_ k. 6rop t, Jai -nos R. 6yann
(Name of person acknowledging) (Name of person acknowledging)
4nVat.&ure&of Notary Public- State of 0
rida) (Si nature of Notary1P�ublic- State of Florid
Personally Known � OR Produced Identification Personally Known 54 OR Produced Identification
Type of Identification Produced -Type of Identification Produced
Commission No.� KR(§� MICHELLETA_ mmission No.(x� is
=o4�r°"ac,State of Florida -Notary Pub i LOB
*- Commission # GG 15561 ��„YP,,, KRISTIoWFMICH NotaryAPubl C
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Revised 07/15/2014 °;����`�c My October 29, 2021 y e`c CMy Comm ssion Expires
' Octob5'0er 29, 20��wY,
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