HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONL3
ALL 'PPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dat : `rt.\a���� r�Permit Number: ��00134
�1�Or�C➢V�'�V RECEIVED
Building Permit Application q�� 2 9
Pla ing and Development Services o )�
Buil mg and Code Regulation Division
230 P Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permitting
Ph ne: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PE
M IT APPLICATION FOR: Pool enclosure on existing deck and footer
PR
,POSED IMPROVEMENT LOCATION:
9303 S Indian River Dr., Fort Pierce 34982
Legal,IDescription: 19 36 41 S 175.88 FT OF GOVT LOT 2 LYG E OF FEC RR RNV--LESS RD R/W- (2.48 AC)(OR 3983-250)
Prop4ty Tax ID #: 3519-414-0002-000-7
Lot No.
Site elan Name: Hartman, Patrick A Block No.
Project Name: Hartman, Patrick �
Setb4ks Front N/A Back: '20U' Iq0Right Side: 120 Left Side: 33
DETAILED DESCRIPTION OF WORK:
alone pool enclosure on existing deck and Tooter. This enclosure will not be attached to the
19
CONSTRUCTION INFORMATION:
Ad bona wor to 13felertormed under this permit — check all apply:
HVAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors
L ��I Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
T
Tota
Cost
I. Ft of Construction: I'eibb
Construction: $ 12,250.00
S Ft. of First Floor: _
Utilities:Sewer E]Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Nam I Patrick A. Hartman
Name: James Brann
Addss: 9303 S Indian River Dr.
Company: The Porch Factory LLC
City: Fort Pierce State: FL
Address: 705 N 39th Street
Zip ode: 34982 Fax:
City: Fort Pierce State: FL
Phone No. (217) 246-1524
Zip Code: 34947 Fax: (772) 465-3252
Phone No. (772) 465-6772
E-M I il: Phartmanmd@gmail.com
Fill In fee simple Title Holder on next page (if different
E-Mail: admin@theporchfactory.com
frorr the Owner listed above)
State or County License: CBC 1258459
it vaye of construction is 5Z500 or more, a RECORDED Notice of Commencement is required.
�Y
SUP
LEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESI
Nam
Addr
City:
Zip:
NER/ENGINEER: _ Not Applicable
: seaside Engineers
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
SS: 4265sothCt.
Vero Beach State: FL
#957 Phone: (772)202-8008
I
FEES
Nam
Addr
City:
Zip:
MPLE TITLEHOLDER: x Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
� ss:
Phone:
Zip: Phone:
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 I s in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structi re. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In con lideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in acc( rdance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The foowing building permit applications are exempt from undergoing a full concurrency review: room additions,
access ry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WAR ING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
impr �vements to your property. A Notice of Commencement must be recorded and posted on the jobsite
befo the first inspection. If you intend to obtain financing, consult with lender or an attorney before
com encing work or recording vour Notice of Commencement.
CLA - /\ � ( ) A s
Sig rlatVTYOFI
wrier/Lessee Contractor as Agent for Owner ;ON:T
Z
Contractor License Holder
STATO IDA LOg�DA
COW . LI.1 !-e— Y OF 5} L�.[ l3iC.
The fcr ing instru ent was cknowledge efore me The forgoing instrument was acknowledged before me
this ay of 20by this oy of 20 by
9- 6tanr i IQ, 16yann
(Nam of person acknowledging) (Name of person acknowledging)
• w w
I
(Si n ture of Notary Public- State of Flor' ) fs1nature of Notary Public- State of Florida
Persor ally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.G(, 15 5(Q/9 (Seal) Commission No.� I Sf!jIleg (Seal)
7uu, ICRNTI FMIrHELLELOR u
State of Florida -Notary Public :�411�State
.. of Florida -Notary Public
Re ed 07/15/2014 y®�� Commission # GG 156618 += Commission # GG 155618
oF�` My Commission Expires ',;�y My Commission Expires
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FRONT
COUNTER
PLANS
REVIEW
VEGETATION
REVIEW
MANGROVE
REVIEW
ZONING
REVIEW
SUPERVISOR
REVIEW
SEA TURTLE
REVIEW
DATE
COM FLETE
INITIA
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