HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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RECEIVED
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Building Permit Application MAY 15 2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Screen under covered porch
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Address: 10651 Pine Needle Dr.
Legal Description:Pine Hollow-Unit Two-Lot 14
Property Tax ID#: 2321-802-0016-000-9 Lot No.14
Site Plan Name: Pine Hollow Block No. Unit 2
Project Name: Moore,Jeffrey&Gina
Setbacks Front N/A -Back: N/A Right Side: N/A Left Side: N/A
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Screen under covered porch-existing deck and footer.
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Additional work to be pertormed under this permit–check all that appy:
HVAC _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Roof pitch
Total Sq. Ft of Construction: 308 Sq. Ft. of First Floor:
Cost of Construction:$ 2,150.00 Utilities: —Sewer _Septic Building Height:
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Name Jeffrey&Gina Moore Name: James R. Brann
Address:5810 NW Fall Flower Ct. Company: The Porch Factory LLC
City: Port St. Lucie State: FL Address: 705 N 39th Street, Fort Pierce, FL 34947
Zip Code: 34986 Fax: City: Fort Pierce State:FL
Phone No.(772)342-1333 Zip Code: 34947 Fax: (772)465-3252
E-Mail: Phone No. (772)465-6772
Fill in fee simple Title Holder on next page(if different E-Mail: admin@theporchfactory.com
from the Owner listed above) State or County License: CBC 1258459
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable
Name: 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 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.
("'a - A k---- - (_-) A Xx--,
Signature o wner Lessee/Contractor as Agent for Owner atur o ontractor/License Holder
STATE OF IDA OF FLORIDA
COUNTY OF St. Lucie COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me The for ping instrument was acknowledged before me
this�day of 20A by this�day of lQ&a 20�L9 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
( gnature of Notary Public-State of FI i a) ( i nature of Notary Public-State of Florid )
Commission-No. GG 155618 (Seal) Commission No. GG 155618 (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17