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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION_k� ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 I+ Date: ©V • Permit Number: Building Permit Application RECEIVED Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial MIT APPLICATION FOR: Pool enclosure NOV B 0 2018 ST. ucie C County. Permitting Resid SCANNED I PROPOSED IMPROVEMENT LOCATION: �r Address: 8455 Angle Rd, Fort Pierce 34949 Legal Description: 2 35 39 W 200 FT OF NE 1/4 OF NW 1/4-LESS S 267.80 FT AND LESS N 160 FT (4.36 AC)(OR 3980-2238) Property Tax ID #: 2302-212-0013-000-8 Lot No. j Site Plan Name: Block No. Pro'iect Name: Pycik, Laura A. Setbacks Front474.96' Back: N/A Right Side: 114.5' Left Side: 33.28' [DETAILED DESCRIPTION OF WORK: Freeistanding pool enclosure for existing pool on existing deck and footer. CONSTRUCTION INFORMATION: itional work to be pertormed under this permit —check all that apply: HVAC _ Gas Tank _ Gas Piping i 1 Electric _ Plumbing _ Sprinklers - I TotallSq. Ft of Construction: 2384 Cost of Construction: $ 11,950.00 _ Shutters Generator Sq. Ft. of First Floor: Windows/Doors Roof Roof pitch Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Laura A. Pycik Name: James R. Brann Address: 8455 Angle Rd. Company: The Porch Factory LLC City: Fort Pierce State: FL Address: 705 N 39th Street, Fort Pierce, FL 34947 Zip Code: 34949 Fax: City: Fort Pierce State: FL Phone No. (772) 834-3442 Zip Code: 34947 Fax: (772) 465-3252 E-Mail: doubledglen@gmail.com Phone No. (772) 465-6772 i 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 required. i:SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: X Not Applicable Seaside Engineers Name: IName: Address:4265 both Ct. Address: City: Vero Beach - State: FL City: State: Zip: 32967 Phone (772) 202-8008 Zip: Phone: SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable 'FEE 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. 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 strIucture. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. Inconsideration 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. i I Signat of 0 er Lessee/Contractor as Agent for Owner ignature' ontractor/License Holder i ST TE OF LORIDA STAT OF FLORIDA CO OF St. Lucie NTY OF St. Lucie I J The forg�oing instrument was acknowledged before me The forgoing instru ent was a�knolwledged before me day Wf 20/9 by this WiPday of MtNAW /3W 1-. 20-M by this/ of James R. Brann James R. Brann I, 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- State of F16dda ignature of Notary Public- State of Flor' ) ' KRISTIN��91� jHELLE TAYLOR Commission No.IF.�„YP"% Fii- tltl Public on a Notary T,,Yi OR Commissio oa�����+� CRISTINEMICHEL egi P blic =o �; fate of =. *= Commission # GG 155618 Expires �=o� State of orida-Notary 5+ �= Commission # GG 155618 os�c My Commission 1 M Commission Expires o o or REVIEWS NING SUPERVISOR PLA MANGROVE COUNTER REVIEW REVIEW RE REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED �2 / Rev.