HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ka. \'3 l4 Permit Number.,
RECEIVED
Building Permit Application
Planning and Development Services L
DEC 13 2018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 . Lucie County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Pool enclosure
PRQt?OSED IMPROVEMENT LOCATION:SCANNED
Address: 3120 Yellowstone Cir, Fort Pierce 34945 Ry
Legal Description: Creekside Plat No. 1 (PB 55-12) Lot 114 (OR 4134-2444) St. Lucie County
Property Tax ID #: 2326-600-0119-000-6
Site Plan Name: Creekside Plat No. 1
Project Name: Louden Pools - Badcock/Ruiz Residence
Setbacks Front NIA Back 29 3 Right Side 32 B' Left Side 33 9
DE�TAILL,EDDESGRIPTION30F, WORK
Pool enclosure on existing deck and footer
_ HVAC
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction: 1790
Cost of Construction: $ 12,200.00
_ Gas Piping
_ Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor:
Lot No.114
Block No.
—Windows/Doors
Roof Roof pitch
Utilities: _Sewer _Septic Building Height:
owluER%LESSEE .;y
CC?NTRAGTOR
x
Name Leany J Ruiz
Name: James R. Brann
Address:3120 Yellowstone Cir
Company: The Porch Factory LLC
City: Fort Pierce State: FL
Zip Code: 34945 Fax:
Phone No.
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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 recordi our Notice of Commencement.
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DESIGNER/ENGINEER:
Name: Seaside Engineers
Not Applicable
MORTGAGE COMPANY:
Name:
x Not Applicable
Address:4265 60th Ct.
Address:
City: Vero Beach State: FL
Zip:32ss7 Phone(77z)zo2-eooe
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:
Signa of ssee/Contractor as Agent for Owner
Lon tractor/License Holder
SiVAO
STAT OF LORIDA
FLORIDA
COUN OF St. LucieC
FSt. Lucie
The for Ing instrument was acknowledged before me
��ayof
The for oing ins rument was acknowledged before me
this �41JYI%2L/ .20j*by
this/dayof�(�!/mhG✓ .20/� 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
( gnature of Notary Public- State lorida)
( i nature of NotaryPublic- State
of gAigy
GG I
Commission No. KRISf�1@9 MICHELLE TAYLOa
Commission No. GG 15561
.`........... KRI$TIt�E MICHELLE TAY
°: St ai Florida -Notary P
State of Florida -Notary Public
' Commission # GG 1556
y Commission # GG 155618
My Commission Expir
',? ar;` M Commission Expires
October 29, 2021
October
29, 2021
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