HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 'l
Date: r�� ' �� Permit Number: 1 A c)5-- V
RFC
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Building Permit Applicatiorv,,,, . a�zp�y By
Planning and Development Services St. 4 "?'9'9 St, Lucie Building and Code Regulation Division �c,e co 1� e t C1e �'oUr)cy
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Pool enclosure with new footer
Address: 103 Queens Rd.
Legal Description: Queens Cove - Unit Three - Blk 25 Lot 11
Property Tax ID #: 1423-602-0011-000-0
Site Plan Name: Queens Cover Unit Three
Project Name: Matula, Sandra & Howell, Rick
Setbacks Front N/A Back: 15' Right Side: 26.5'
Install poly roof section and pool enclosure with new footer.
_ HVAC _ Gas Tank —Gas Piping
_Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction: 880
Cost of Construction: $ 29,900.00
Lot No. 11
Block No. 25
Left Side: 21.31'
_Shutters —Windows/Doors
_ Generator _ Roof Roof pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
AND
Name Sandra Matula
Name: James R. Brann
Address:103 Queens Rd.
Company: The Porch Factory LLC
City: Fort Pierce State: FL
Zip Code: 34949 . Fax:
Phone No. (772) 302-0435
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: sandimatula88@gmail.com
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.
Applicable
MORTGAGE COMPANY: X
Not Applicable
Name: seaside Engineers
Name:
Address:4265 soth Ct.
Address:
City:Vero Beach
State: FL
City:
State:
Zip: 32987 Phone(772)202-8008
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
X Not Applicable
BONDING COMPANY: X
Not Applicable
Name:
Name:
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.whlch 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
commencingwork or recordingour Notice of Commenceme
Rev.8/2/17
DESIGNER/ENGINEER: Not
I'll
Commission
Signa Ire of O ner/ Lessee/Contractor as Agent for Owner
ontractor/License Holder
STA E FLORIDA
=TEOF
ORIDA
COU OF St. Lucie
COUNTY OF St. Lucie
The forgoing instru e t was acknowledge before me
The forgoing instrument was acknowledged before me
thisday of � 20� by
thiso�day of � 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
`
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I T ft
�, orida NLotaryAPubl
( gnature of Notary Public- State of Flo da
( nature of Notary Pu ifslon
Expires
Commission No. GG 155618 I KRISTINE MICHE
;n o; ommission
L�ZL{,„,. lobar 29, 2021
W��PYL��OR� No GG 15