HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
te: I1 1 Permit Number: f 0117
- RECEIVED
NOV 0 7 me
Building Permit Application Permitting Department
Planning and Development Services St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
PhIone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
AINNEb
PERMIT APPLICATION FOR: sun Room BY
PROPOSED IMPROVEMENT LOCATION: St Lucie Coi j
Address: 2530 Rainbow Dr.
5 36 40 E 180 FT OF FOL DESC PROP: FROM NE COR OF N 375 FT OF S 112 OF NE 1/4 OF SE 1/4 RUN W 35 FT FOR
Legal Description: Pna Tu CON110135R A GT TN S 90A FT 1w E 358 A GT TN W 90A FT 10 12 1B-LES W 17R A El AND IESS THAT PART
LYG N OF COMMONBDRY L AS ESTABLISHED El.
IN BDRY ADJUSTMENT IN OR 232433-(0.81 AC)(or 1419-1919)
Property Tax ID #: 3405-414-0001-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Wilcox, William
Setbacks Front NIA Back: 104.1' Right Side: 80.9' Left Side: 75.6'
DETAILED DESCRIPTION OF WORK:
Remove existing screen walls and door; Install new framing, poly panel kick plate, poly wall and impact horizontal windows.
CONSTRUCTION INFORMATION: II
Aaartional work to be Performed unciertnis Permit— check all that aaa v:
HVAC _ Gas Tank
Electric _ Plumbing
I
Total Sq. Ft of Construction: 234
Cost �of Construction: $ 10-260.00
Gas Piping _ Shutters
_ Sprinklers _ Generator
Sq. Ft. of First Floor:
Utilities:. —Sewer _Septic
_Windows/Doors
Roof Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name William Wilcox
Name: James R. Brann
,Address: 2530 Rainbow Dr.
Company: The Porch Factory LLC
City: Fort Pierce State: FL
Address: 705 N 39th Street, Fort Pierce, FL 34947
Zip Code: 34981 Fax:
City: Fort Pierce State: FL
Phone No. (772) 528-0503
Zip Code: 34947 Fax: (772) 465-3252
E-mail: bill.wilcox@earthlink.net
Phone No. (772) 465-6772
Fill irk 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 value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
il
DESIGNER/ENGINEER: — Not Applicable
Seaside Engineers
MORTGAGE COMPANY: X Not Applicable
Name:
Name:
Address:4265 60th Ct.
Address:
City: Vero Beach State: FL
City: State:
Zip : 32967 Phone (772) 202-8008
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
Icertify 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 coricurrency 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.
Sig' ature of ner/ Lessee/Contractor as Agent for Owner
ignatu of Contractor/License Holder
STA F FL IDA
S TE OF FLO IDA
COUNTY OF}, LL.[11 �-
COUNTY OFS�
The f r oing instrument was acknowledge before me
'day
The o oing instrument was a nowledge efore me
this of &Jowtd 1i1Gi , 20LE by
this ay of NOl,r�i'Y)& 20Xby
James R. Brann
James R. Brann
Name of person making statement
Name of person making statement
Personally Known X OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced
,
Produced
gnature of Notary Public- Stat
ure of Notary Public- State of Florid
GG 155618 ����I! p��,,, KRISTINE MICHELLET
YL R
P,�bI c GG
Commission No. ,o.� � S I>)e of Florida-Notar
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1
5@'I sion No. KRISTI CHELLETAYLOR
�a,�
Commission
ate: My Commission E
����,
ires ;=o-:State of Florida -Notary Public
October 29, 20,
ommission # GG 155618
%? o:
October
29, 2021
REIVIEWS
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DATE
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[DATE
COMPLETED
Rev.8/2/17 - `