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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q -Date:--- - -- - --Permit Number: 1 \ I - 01 I1 Building Permit Application 'CT 3 0 2019 Planning and Development Services Building and Code Regulation Division LSTLucie County, Permltting 2300 Virginia Avenue, Fort Pierce FL 34982 _ _. Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Pool enclosure SCANNED Address: 1811 Hazelwood Dr. Legal Description: Estates of Longwood Lot 28 (0.34 AC)(OR 3367-1159) PropertyTax ID #: 2433-502-0029-000-6 Site Plan Name: Estates of Longwood Project Name: Yavorsky, Micheal Setbacks Front N/A Back: 26.9' Right Side: 38.2' Left Side: 24.3' Lot No.29 Block No. - Pool enclosure on existing deck and footer. CONSTRICTION INFORMATION' -� itinna wnr to ono nrmo un cr* mner.nrt_ o� r • .. _ HVAC _ Gas Tank _ Electric _ Plumbing Total Sq. Ft of Construction: 1320 Cost of Construction: $ 11,400.00 _ Gas Piping _ Sprinklers _ Shutters _ Generator Sq. Ft. of First Floor: Windows/Doors Roof Roof pitch Utilities: _Sewer _Septic Building Height: Name Michael Yavorsky Address:1811 Hazelwood Dr. - City: Fort Pierce State: FL Zip Code: 34982 Fax: Phone No. (772) 201-5881 Fill in fee simple Title Holder on next page (if different from the Owner listed above) Name: James R. Brann Company: The Porch Factory LLC 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: admin@theporchfactory.com State or County License: CBC 1258469 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. �� I P LEME;I"AL CONSTittlGl'IONLIEN'LAtAF�INFORMA"110N �,.� `��4 - � ° -, . -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) 202-8006 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 vour Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORID STATE OF FLORID V t r COUNTY OF St. Lucl VVVV COUNTY OF St. Lu The forg�oo.fy9 instrument a cknowledged before me The forgo: instrum nt as acknowledged before me this_i ay of 20ij by th%W of P_ 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 Pu ' - t� NE MICHELLETAPubli nature of Notary Public- State of FI ri g Commission No. " °°a< Brat �+onda-Notary GG 15- at PS§ion # GG 155618 GG 155 $pN E MICHELLE-rA bl ommission No. o`::bU'., K A rida-Notary pebl ao�,Stat I° GG 15561� rh Expires MY Commission 21 %? 29, -� _ Commission #_ :y My Commissr9nZo2�re nno°` October ;a 0ctober2 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION S TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17