HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �y ��'1
Date:ols Permit Number:IIS /` J� 1
Building Permit Application L28
Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Re ' uting
PERMIT APPLICATION FOR: POOL ENCLOSURE SCANNED
PROPOSED IMPROVEMENT LOCATION: D I
_
Address: 2300 CANOE CREEK LN, FORT PIERCE 34953
CANOE CREEK LOT7 AND BEG AT NW COR LOT 7, TH ELY ALIGN LI OF SD LOT 7 271 FT TO NE COR OF SD LOT 7, TH NLY b0 FT, TH ELY TOW
Legal Description: SHOREOF N FORK OF ST LUCIE RN, TH MEANDER SD W SHORE NLYTO PT ON AN EXTENSION OF S LI OF RIVER HAMMOCK S/D TH WLY ON SO
EXT OF SD S L1 TO AP LYG 1W FT N OF NE CUR OF SD LOT 7, TH CONT WLY ALG S LI OF RIVER HAMMOCK SID 271 FT, TH SLY 103 FT TO NW CDR
SD LOT 7 AND POE (MAP 34/048)(1.13 AC)(a 3970-1284)
Property Tax ID #: 3404-701-0007-000-0 Lot No.7
Site Plan Name: CANOE CREEK Block No.
Project Name: RAMBO, JOHNNY
Setbacks Front N/A Back: 77'6" Right Side: 144'6" Left Side: 936"
DETAILED DESCRIPTION OF WORK: III
POOL ENCLOSURE ON EXISTING DECK AND FOOTER.
CONSTRUCTION INFORMATION: III
HVAC
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction: 1812
Cost of Construction: $ 10,200.00
Gas Piping
_Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof Roof pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJOHNNY S RAMBO
Name: James R. Brann
Address: 5811 HICKORY DR
Company: The Porch Factory LLC
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. (318) 706-9637
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: JOHNNY.SCOTT.RAMBO@GMAILCOM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: admin@thepomhfactory.com
State or County License: CBC 1259459
If value of construction is $2500 or more, a RECORDED Notice of Comnwarement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Seaside Engineers
MORTGAGE COMPANY:
Name:
X Not Applicable
Address:4265 both Ct.
Address:
City: Vero Beach State: FL
Zip: 32967 Phone (772)202-a008
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
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
commencinework or recording vour Notice of Commencement.
n
Signat a of O ter/ Lessee/Contractor as Agent for Owner
Signature f Contractor/License Holder
STATE LORIDA
OF FLORIDA
COUNTY OF St. Lucie
COUNTY OF St. Lucie
The for Ing instru ent was acknowledged before me
The forty' 9 instrument was acknowledged before me
this ay of %SGY 20S_ by
this�'Lcyof AJ091MiU.Y 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
ignature of Notary Public- State
of FCJ�WAJ�
. ature
of Notary Public- State of Florida
•a„��y`.,,(Kal&TINE MICHELLET
s�f84U
ea of Florida -Notary
YLOR
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Commission No. GG 15561
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ission No. GG 155 113,. n.>o .,, KRI $L)MICHELLE TAYL
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REVIEWS
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REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17