HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ' -A 2-3 Permit Number: q % (3
Building Permit
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: Pool enclosure
Address: 7420 Laurels Place
Legal Description: Parcel 15A at The Reserve Lot 13 (OR 4045-246)
Property Tax ID #: 3322-501-0016-000-1
Site Plan Name: The Reserve
Project Name: Rosen, Alan & Kimberly
Setbacks Front NIA Back: 31' Right Side: 26'6"
Permitting Department
_ . gft'jtai'nulAy, FL
Left Side: NIA
Lot No. 13
Block No. 15A
Pool enclosure on existing deck and looter.
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AnaltionalworKlOcieperrormed
uncierthis permit —c ec all
that apply:
_ HVAC
_ Gas Tank
—Gas Piping
_ Shutters
-Windows/Doors
_ Electric
_ Plumbing
_ Sprinklers
_ Generator
_ Roof Roof pitch
Total Sq. Ft of Construction: 1640
Cost of Construction: $ 10,085.00
Sq. Ft. of First Floor: _
Utilities: _Sewer _Septic
Building Height:
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Name Alan & Kimberly Rosen
Name: dames R. Brann
Address:9329 Briarcliff Trace
Company: The Porch Factory LLC
City: Port St. Lucie State: FL
Zip Code: 34986 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 1256459
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
�SU .' LE EE TAL 0{ STRiJCTtpN L'{EN. LAW 1N
-011
DESIGNER/ENGINEER: _ Not Applicable
Name: Seaside 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
commencinia work or recordine vour Notice of Commencement.
-n/,�'
/�-
r/ Lessee/Contractor as Agent for Owner
SignatuUFORIDA
of Con ractor/License Holder
=TE
STATE
F FLORIDA
COUNTY OF St. Lucie
COUNTY OF St. Lucie
The for ing instru entwas acknowledged before me
The for Ing instr ent was acknowledged before me
thisay of 20� by
this (day of, 20L9 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
( ignature of Notary Public -State of Florid
(Si ature of Notary Public -State of Florida)
Commission No. GG 155618
,, TINE MICHELLET
fission Na. GG 1 u„ KRISTI (l�edl HELLE TAYLOR
YLOR a�;State Florida -Notary Public
g °�y State of Florida -Notary
;�d of
Public = Commission # GG 155618
h a Commission N GG 15
o•:
618 M Commission Expires
October 29, 20
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er
REVIEWS
FRONT
S
VEGETATI
OVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17