HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n
Date: SCANNED Permit Number:
BY ��°
alai St. Lucie County
Building Permit Application
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 Residential X
PERMIT APPLICATION FOR:ScreenEnclosure
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PC►SEl7,IMPROVEfyIENT.LOCATtON:
Address: 8505 Cobblestone Dr.
Legal Description: Creekside Plat No. 1 (PB 55-12) Lot 84 (OR 4075-1811)
Property Tax ID #: 2326-600-0089-000-6
Site Plan Name: Creekside Plat No. 1
Project Name: Mulvaney, Michael
Setbacks Front N/A Back: 38.30'
Poly roof with screen walls on new concrete slab.
HVAC
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction: 112
Cost of Construction: $ 6,525.00
Right Side: 18_81'
—Gas Piping
_ Sprinklers
Left Side: 15.72'
_ Shutters
_ Generator
Sq. Ft. of First Floor:
Lot No.84
Block No.
_ Windows/Doors
_ Roof Roof pitch
Utilities: _Sewer _Septic Building Height:
OWNER, LESSEE_: I =
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CONTRACTOR:
Name Michael & Sylvia Mulvaney
Name: James R. Brann
Address:8505 Cobblestone Dr.
Company: The Porch Factory LLC
City: Fort Pierce State: FL
Zip Code: 34945 Fax:
Phone No. (772) 801-5485
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 1258459
It 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 60th Ct.
Address:
City: Vero Beach State: FL
Zip: 3zs67 Phone(772)2o2-BOOB
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
commencingwork or recordingour Notice of Commencement.
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Rev.8/2/17
Si nature Owner/ Lessee/Contractor as Agent for Owner
Sign ure of ontractor/License Holder
S OF FLORIDA
STA OF FLORIDA
COUNTY OF St. Lucie
COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me
this�`�day ��
The for Ing instr ent was acknowledged before me
by
of 20� by
thisday of <�r�t.�:{Q�yy(x✓ , 20fs
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
(S' nature of No07, tary Publ' -
S' nature of Notary Public- State orida j
"r" KRI�TINE MICHELLE TAYLO
Commission No. GG 15„ t �: Stet eal�lorida-Notary Publ
c ommission No. GG 155 KRIS(ISaaI�IICHELLE TAYLO
= Commission # GG 15561
i k,State of Florida -Notary Publ
My Commission Expires
_ Commission # GG 15561
October 29, 2021
M Commission Expires
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