HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEDlr7/
Date: 'I SCANNED Permit Number: V 10 1 ,
BY ���CCC"'
slog St. Lucie County
Building Permit Application RECEtvIeD
Planning and Development Services JUN $ 7019
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 pen Ittln9 Department
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X ReT161164'6ajnty
PERMIT APPLICATION FOR:SCREENENCLOSURE
Address: 3163 HAMMOND RD
Legal Description:30 34 40 S 200 FT OF N 245 FT OFN 112 OF NE 1/4 OF SW 1/4-LESS RD R/W AND LESS AS IN OR
459-2756-(5.20 AC)(or 3734-2525)
Property Tax ID #: 1430-311-0002-000-3 Lot No.
Site Plan Name: MISSIONARY FLIGHTS HOSPITALITY PARK Block No.
Proiect Name: RK DAVIS CONSTRUCTION - MISSIONARY FLIGHTS INTERNATIONAL
Setbacks FrontN/a Back: 1109 Right Side: 21.60 Left Side: 117.04
SCREEN ENCLOSURE ON EXISTING SLAB
_ HVAC
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction: 3224
Cost of Construction: $ 39,170.00
—Gas Piping
_ Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor:
-Windows/Doors
_ Roof Roof pitch
Utilities: _Sewer _Septic Building Height:
E ON
XPOARS96 MA WIN
Name MISSIONARY FLIGHTS AND SERVICE INC.
Name: James R. Brann
Address:3170 AIRMANS DR
Company: The Porch Factory LLC
City: FORT PIERCE State: FL
Zip Code: 34946 Fax:
Phone No.
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.
S�l{,PRLEMEi�f LC®NS,T{�t1Cf�ON'LEN�L�dW IPf�RiV1A7tQN;
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DESIGNER/ENGINEER: _ Not Applicable
Name: Seaside Engineers
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: x Not Applicable
Name:
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 Amendment's.
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 Your Notice of Commencement.
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—
Sig ature Owner/ Lessee/Contractor as Agent for Owner
_C'Ll�
ontractor/License Holder
Sign VEOF
STATE OF FLORIDA
STALORIDA
COUNTY OF St. Lucie
COUNTY OF St. Lucie
The for Ing instrum nt was acknowledged before me
The for o.ng instrum nt was acknowledgg before me
I'May �r7J— by
this day off Q 20Lq by
this of 20/4
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 Notary Public -St
Public-
Commission No. GG 155618
, "° �o K ISTINE MICHELLE
`°� gt toof Florida-Notar
Se p
Public
5�te.
rureofotary
GG 15561St
os.+=JaiK rINE MICHELLETAY
„un„-`moo`""
g#ph��Florida-Notary Pmmission
# GG 1
L fnQMssion # GG 155
�� My Commission Expires
o`
-__
=H
`P� My Commission Expir,
October 29, 20
1
M1% October 29, 9021
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Rev.8/2/17