HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE I IFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED GD
Date ' Permit Number: 6 17
RCCEIVED
Building Permit Application
Planning and Development Services Permitting tiPpF; menc St'
Building and Code Regulation Division St, Lucie Ceun!-y
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Pool enclosure
Address: 5423 Stately Oaks St.
Legal Description: Southern Oak Estates First Rapist Lot 18
Property Tax ID #: 3404-711-0006-OODA
Site Plan Name: Souther Oak Estates
Project Name: Clarke, Wade
Setbacks Front N/A Back: 48.125 Right Side: 38.75 Left Side: 48.32
Remove existing pool enclosure; Install new pool enclosure in same location - existing deck and footer.
_ HVAC
Electric
_ Gas Tank
—Plumbing
Total Sq. Ft of Construction: 968
Cost of Construction: $ 7,500.00
Gas Piping
_ Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor:
Lot No. 18
Block No.
Windows/Doors
Roof Roof pitch
Utilities: _Sewer _Septic Building Height:
Name Wade and Shelby Clarke
Name: James R. Brann
Address: 5423 Stately Oaks St.
Company: The Porch Factory LLC
City: Fort Pierce State: FL
Zip Code: 34981 Fax:
Phone No. (772) 405-1130
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: horizonpools@att.net
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.
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DESIGNER/ENGINEER:
Name: Seaside Engineers
_ Not Applicable
MORTGAGE COMPANY:
Name:
X_ Not Applicable
Address:4265 both Ct.
Address:
City: Vero Beach State: FL
Zip:32967 Phone(772)202-8008
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
X Not Applicable
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 our Notice of Commencement.
Sign e o ner/ Lessee/Contractor as Agent for Owner
ontractor/License Holder
A FLORIDA
E OF FLORIDA
::7
COUNTY OF St. Lucie
COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this �day of ��,.1— .204 by
this b day of Do' l .20ko\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
10 ignature of Notary Public- State
a nature of Notary Public -State of F
KRISTINE MICHELLETAYL
Commission No. GG 155 $`° ;gt�8teq PutI1C
,�Y'oe''., Florida -Notary
155
GG 15. GA '`e SflIS �NEM�CHELLETAYLOR
mission No. r , tale Seat ida-Notary Public
o '�oc
e18C
3 = Commrssio ssion
e'c My Comm
_
Commission # GG 155618
My Commission Expires
October 29 2021
'.�a 2021
October 29,
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Rev.8/2/17