HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: I i - olaz
SCANNED
.�. BY
Building Permit Application St. Lucie Countya°!g
Planning and Development Services B/ �ap�
Building and Code Regulation Division �l �?�� 2S
2300 Virginia Avenue, Fort Pierce FL 34982 to may
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential °3Z'�.,, �"f-1-
PERMIT APPLICATION FOR: Pool enclosure
Address: 7703 Citrus Park Blvd
Legal Description: Lakewood Park - Unit 7 - Blk 74 Lot 15 (Map 12/02N) (OR 3453-594; 596; 3455-965; 34632795)
Property Tax ID #: 1301-607-0122-000-1
Site Plan Name: Lakewood Park Unit 7
Project Name: Odom Custom Pools - Cubow Residence
Setbacks Front N/A Back:32.2' Right Side:43.2'
Pool enclosure on existing deck and footer.
aalel )I X ,Gr,
HVAC
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction: 1589
Cost of Construction: $ 9,800.00
—Gas Piping
_ Sprinklers
Left Side: 14.1'
Shutters
_ Generator
Sq. Ft. of First Floor:
Lot No.15
Block No. 74
Windows/Doors
Roof Roof pitch
Utilities: _Sewer _Septic Building Height:
OWiVt/LESSEE
,y $
Ct�NTRAGiOR
Name Joseph and Bety Cubow
Name: James R. Brann
Address:7703 Citrus Park Blvd
Company: The Porch Factory LLC
City: Fort Pierce State: FL
Zip Code: 34951 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.
pSUPPLEMEiTAL;COISTRItCTION
LtENWW'INFORMATiOIy
DESIGNER/ENGINEER: _ Not Applicable
Name easide-Engineers
MORTGAGE COMPANY:
Name:
X Not Applicable
Address: 4265 60th Ct.
Address:
_
City: Vero Beach State: FL
Zip: 32967 Phone(772)202-8008
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
commencing work or recording our Notice of Commencement.
Sign ure Owner/Lessee/Contactor as Agent for Owner
Sig ture Contractor/License Holder
S AT F FLORIDA
OF FLORIDA
C TY OF
C LINTY OF
The far ing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of���j2, 20_1 by
this�}ay ofz&W&L , 208 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
Public - State of FloridaCommission
( gnature of Notary Public- State of FI i a)
No. GG155 uiii,„ KRI[Sd8) MICHELLETAYLO.
Lorida-Notary Publ_Commission
rnatureotary
GG15561 rp�a„ KR{�TI MICHELLETAYL
of lorida-Notary Pu
_state of
# GG 15561kState
•5 Commission # GG 155r
My Commission Expires
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REVIEWS
FRON
SUPERVISOR
PLANS
VEGETATION
RTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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Rev.8/2/17