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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 �.4s+/\.`r± ,-aiv(.`Jwttft rY4�y"'.If4fy�a-.S rc ti f4y"h'.�- ?Y. 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 FRON PLANS P%.�" VEGETA Octo ei15 G OVE P RVISOR COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE M COMPLETED Rev. 8/2/17