HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r
Date: `I - 7 � - I'�& Permit Number:
RECEIVED
Building Permit Application NOV 2 8 2ot8
Planning and Development Services
Building and Cade Regulation Division ST. Lucie County, Permitting
12300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
ERMIT APPLICATION FOR: POOLENCLOSURE
"PROPQSED,t pROVEME TyGOCATION: :. ; „.. , r A..;.,�
Address: 122 EDEN CREEK LN, JENSEN BEACH 34957
Legal Description: OAKS AT INDIAN RIVER LOT 6 St Lucie County
1.
Property Tax ID #: 4509-807-0009-000-4 Lot No. 6
Site Plan Name: -OAKS AT INDIAN RIVER Block No.
Project Name: SMITH, JEFFREY AND TRACI
Setbacks Front N/A Back: 15' Right Side: N/A
POOL ENCLOSURE ON EXISTING DECK AND FOOTER.
_ HVAC
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction: 2985
Cost of Construction: $ 15,975.00
_ Gas Piping
Sprinklers
Left Side: 32.11'
_ Shutters
Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof Roof pitch
Utilities: _Sewer _Septic Building Height:
;OWNER%LESSEE°ty'
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CONTRACTOR
NameJEFFREYAND TRACI SMITH
Name: James R. Brann
Address:122 EDEN CREEK LN
Company: The Porch Factory LLC
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax:
Phone No. (330) 801-2835
Address: 705 N 39th Street, Fort Pierce, FL 34947
City: Fort Pierce State. FL
Zip Code: 34947 Fax: (772) 465-3252
Phone No. (772) 465-6772
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: admin@theporchfactory.com
State or County License: CBC 1258459
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER:
Name: Seaside Engineers
Not Applicable
MORTGAGE COMPANY:
Name:
X Not Applicable
Address:4zs5 Both Ct.
Address:
City: Vero Beach State: FL
Zip; 32ss7 Phone (77z) 2o2-eoos
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
X Not Applicable
BONDING COMPANY:
Name:
x Not Applicable
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
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
commencingwork or recordin our Notice of Commencem
/,//3 A /�' 'L /I vl—
Rev. 8/2/17
Signatur of caner/ Lessee/Contractor as Agent for Owner
Signatur of Contractor/License Holder
STAT FLORIDA
ST OF FLORIDA
COUNTY OFST. LUCIE
UNTyOFST. LUCIE
The f r ninstrument was acknowledged before me
The forgpo�ing instrument was acknowledged before me
YhisayofA)ll/.YYyi],f,Y ,20fj'� by
(Jlg
this�dayof�Jtrl(GY)'1 iY .20_2 by
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
T�fgnature of Notary Public -State of FloriI
ature of Notary Public -State of Florid
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Commission No. , 9U Of Florida•Notary
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