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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION0z ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: SCANNED PeimitNumber:BY O3a� = � �s M St Lude County •0111111111 RECEIVED No Building Permit Application AUG 1 s 2019 Planning and Development Services Permitting Department Building and Code Regulation Division st. Lucie County 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Pool enclosure Address: 5421 Stately Oaks St. Legal Description: Southern Oak Estates First Replat Lot 17 (0.57 AC) Property Tax ID #: 3404-711-0005-000-7 Site Plan Name: Souther Oak Estates Project Name: Munyan, David Setbacks Front N/A Back: 19.41' Right Side: 43.58' Left Side: 33_23' Pool enclosure on existing deck and footer. _ HVAC Electric _ Gas Tank —Plumbing Total Sq. Ft of Construction: 1275 Cost of Construction: $ 11,340.00 _ Gas Piping Sprinklers _ Shutters Lot No. 17 Block No. Windows/Doors Generator Roof Roof pitch Sq. Ft. of First Floor: Utilities: _Sewer Septic Building Height: 5,CflNTRACQR °�,'�* My Name David 8 Susan Munyan Name: James R. Brann Address:2601 Covenant Dr. Company: The Porch Factory LLC City: Fort Pierce Zip Code: 34981 Fax: Phone No. (772) 979-5008 State: FL 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: davemunyan@bellsouth.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: CSC 1258459 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. U,12P ; ; A ; . r .'%"„` DESIGNER/ENGINEER: _ Name: Seaside Engineers �1`k�Lt/t1OR Not Applicable l0 ': MORTGAGE COMPANY: Name: X Not Applicable Address:4265 60th CL Address: City: Vero Beach State: FL Zip: 32967 Phone (772) 202-8008 City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: X Name: 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 vour Notice of Commencement. o Owner/Lessee/Contractor as Agent for Owner SrE Signature on—tractor/License Holder F FLORIDA STAT F FLORIDA COUNTY OF St. Lucie COUNTY OF St. Lucie The far ing instru ent was acknowledge before me thismayof The fo ing instru ent was acknowledged efore me 6� QU54— ,20a by thiso� ay of & A 20-4by V 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 ( gnature of Notary Public- State of rida (Si nature of nuqu, Commission No. State dfPofida-NotaryAPublc , Commission _�� y��,:. StetSeTof Florida-NdgltublMI c B `=`,'P^•°cos = I�_ Commission R GG 155618 `n •, - ommission A GG 15 61 ;� ' My commission Expires ��',)ol��;."� a ; My Commission Expires October 29, 2021 REVIEWS FRONT PLANS -VEGETATION SEATURTLE MANGROVE ZONING SUPERVISOR COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17