HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALLAPPLICABLEIiFQ MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
tl Permit Number:
Loco -to REcetveo
Building Permit Application MAR La 2ol
Planning and Development Services pennitti. 8
Building and Code Regulation Division st, .LI ng DePenment
2300 Virginia Avenue, Fort Pierce FL 34982 County.
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Screen enclosure
Address: 6601 Coquina Ave, Fort Pierce 34951 p)
Legal Description: Lakewood Park - Unit 9 - Blk 115 E 73 FT of Lot 19 (MAP 13/01 N)(OR 3505-2584) St. Lucie
PropertyTax ID #: 1301-611-0316-000-1
Site Plan Name: Lakewood Park - Unit 9
Project Name: Taylor, Eddie
Setbacks Front N/A Back: 53.65'
Poly roof with screen walls on existing concrete slab.
HVAC
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction: 300
Cost of Construction: $ 7,500.00
Right Side: 7.3' Left Side: N/A
_ Gas Piping
_ Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor:
Lot No. 19
Block No. 115
Windows/Doors
Roof Roof pitch
Utilities: _ Sewer _ Septic Building Height:
Name Eddie R. & Paula J. Taylor
Name: James R. Brann
Address:6601 Coquina Ave
Company: The Porch Factory LLC
City: Fort Pierce State:.FL
Zip Code: 34951 Fax:
Phone No. (772) 801-5675
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 C)nW_.S
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.
03/13/2019 10:56 AM PDT TO:17724621578 FROM:7724653252 Page
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DESIGNER/ENGINEER: _ Not Applicable
Name: Seaside Engineers
MORTGAGE COMPANY: X
Name:
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: X
Name:
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 thejobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencem
i -..
1g atIIre o / wner/ Lessee/Contractor as Agent for Owner
S' nature o ontractor/License Holder
9�ATk OF FLORIDA
5 7LORIDA
dGUNTY OF St. Lucie
COUNTY OF St. Lucie
The f�o�r�o��))'ng instrument was acknowledged before me
this ay of /U�CLiG/L 20� by
The for ing instru nt was acknowledge before me
this day of 26 b
- - - -... - ..... .... .-------- ...._... ---...
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
(5' nature of Notary Public- State of FI rI a)
(Si nature of Notary Public- State of Florid )
Commission No. GG15 KRISMealMICHELLETAYLO
o �`*?Slate of Florida -Notary Publi
- •, Commission if GG 155818
My Commission Expires
ommission No. GG yr„r_KRISTINE(beal)ELLETAYLOR
;o ' "ai'- State of Florida -Notary Public
_' �'-_ Commission K GG 155818
a ,3p M Commission Expires
REVIEWS
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Octo ei15
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COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
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COMPLETED
Rev. 8/2/17