HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONw
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: \\ tT�g SCANNED Permit Num
� p.r m BY
MIA St. Lucie County
Building Permit Applicatiol
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: Screen Enclosure
Address: 46 La Villa Way
Legal Description: See attached for Legal Description
rLu"cieCounh,
EIVED
0 7 2019
, Permitting
Residential x
Property Tax ID #: 1301-111-0001-000-5 - Lot No.46
Site Plan Name: Spanish Lakes Country Club Village Block No.
Project Name: Maple, Bob
Setbacks Front N/A Back: NIA Right Side: N/A Left Side: N/A
Screen under covered porch - existing deck and footer.
Muunwud1 wu1K w uc Nanunneu uuueF inn pernm— LnecK du indi apply:
_ HVAC _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Roof pitch
Total Sq. Ft of Construction: 0
Cost of Construction: $ 1,600.00
Sq. Ft. of First Floor: _
Utilities: _Sewer _Septic
Building Height:
sQVM� MR 11
NTRA
Name Bob Maple
Name: James R. Brann
Address:46 La Villa Way
Company: The Porch Factory LLC
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No. (772) 519-4940
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
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name: Seaside Engineers
MORTGAGE COMPANY: X Not Applicable
Name:
Address:4265 60th Ct.
Address:
City: Vero Beach State: FL
Zip: 32967 Phone (772)202-8006
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: X Not Applicable
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 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 roams and accessary 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.
Sig ature Owner/ Lessee/Contractor as Agent for Owner
a of Contractor/License Holder
=ATE
STATE OF FLORIDA
OF FLORIDA
COUNTY OF St. Lucie
COUNTY OF St. Lucie
The forgQng instrument was acknowledged before me
The for Ing instr ent as acknowledge before me
dayof_I
this�day of�ik)JUr 20/9 by
this: 20jt 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
( lgnature of Notary Public-S a
(Si nature of Notary Public- State orida )
wKRISTINE Mrd,-NotarY Publi
Commission No. GG/ - �;;�,State(S�? GG 155618
0 1
ommission No. / (o - a
= = Commission
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my Coin issionZ 2
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�aaY�Ibo KRISTINE MICHE LLETAYLOR
Public
October 29,
Sz `i:; State of Florida -Notary
` G 155618
Commi
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REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETA N%PS;
SEATURTYtEbe
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW:-
VfEW
REVIE
DATE
C^
RECEIVED
DATE
COMPLETED
Rev.8/2/17