HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI '
ALL APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED D(�ate: (� • �'1 • p �,(�� Permit Number: `)
=RECEIVEDBuilding Permit ApplicationPlanning and Development ServicesBuilding and Code Regulation Division
2�00 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
P9RMITAPPLICATION FOR: pool enclosure
PROPOSED IMPROVEMENT LOCATION:nnR
Address: 67 Aqua Ra Dr., Jensen Beach, FL 34957 d �'
P
I Description: River Watch Blk 3 Lot 4 (OR 3635-155) �ft Lucie C'®uffly
ierty Tax ID #: 4511-815-0008-000-9
Plan Name: River Watch
act Name: Maloney, Dale
Jacks Front 30' Back: 24'
DETAILED DESCRIPTION OF WORK:
Right Side: 7'8" Left Side: N/A
Pool enclosure on existing deck and footer.
CONSTRUCTION INFORMATION:
Additional work to be nertormed under
E]HVAC L_J Gas Tank
❑ Electric Plumbing
Total Sq. Ft of Construction: 2143
Cost of Construction: $ 11,700.00
this permit — check all apply:
❑Gas Piping In _ Shutters
❑Sprinklers []Generator
S Ft. of First Floor: _
Utilities. Sewer ❑Septic
Lot No.4
Block No. 3
11 Windows/Doors
❑ Roof Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Dale and Sandra Maloney JR)
Name: James Brann
Address: qua Ra Dr.
Company: The Porch Factory LLC
City: I Jensen Beach State: FL
Address: 705 N 39th Street
Zip Code: 34957 Fax:
City: Fort Pierce State: FL
Phone No. (954) 303-6565
Zip Code: 34947 Fax: (772) 465-3252
E-mail: shutterupdale@aol.com
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
IT vaige oT construction is :�csuu or more, a 14MUKUeo Notice of commencement is
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:.,
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name: Seaside Engineers
Name:
Address: 4265 sots Ct.
Address:
City: Vero Bean State: FL
City: State:
Zip'- 32967 Phone:'(772)202-e008
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.
Lieie 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 acl ordance 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 our Notice of Commencement.
LQI,. s
igna re of Owner/Lessee/Contractor as Agent for Owner eS rg—n 'at u ontra or/License Holder
I
STATE OF FLO.tIDA ST E OF FLQ�,ID
COUNTY OF �. W&C_ LINTY OF �1. 0i.,
The forging instrument was acknowledge efore me The forgging instrument was acknowledged before me
this day of QC�b2✓ 20 Vby this ay of 06AelU✓ , 20 by
(Name of person acknowledging) (Name of person acknowledging)
gn'ature of Notary Public- State of FI i a) (Si ature of Notary Public- State of Florid )
Personally Known OR Produced Identification Personally' Known X OR Pro
Type of Identification Produced Type of Iden i rrAYLOR
�iu,,��� Pu is
���uu,, KRISTI�IE�(ICHELLETAYLOR �;:A �,;gtgte of Florida -Notary
Com ission No. _��►� e'%-State 0AI%ida-Notary Public Commission _ - ssion # gJ610618
Commission # GG 155618 =' �g Commissioh2EEp21res
y e�c Commission Expires %n+�,r�N1o�.` My Ootober 29.
octo Af
Re7'sed 07/15/201
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