HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
2�.4A\ Permit Number:
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: Poly roof with screen walls
PROPOSED 1MPf0UEM6VT LOCATIQNr
Address: 8428 Cobblestone Dr.
Legal Description: Creekside Plat No. 1 (PB 55-12) Lot 128
Property Tax ID q: 2326-600-0133-000-0
Site Plan Name: Creekside Plat No. 1
Project Name: Boney, Rejoice
Setbacks Front N/A Back: 61_30'
Poly roof with screen walls on new concrete slab
_ HVAC _ Gas Tank
_ Electric _ Plumbing
Total Sq. Ft of Construction: 112
Cost of Construction: $ 6,750.00
Lot No. 128
Block No.
Right Side: N/A Left Side: N/A
: r f rc
,F -'
nis permit�k all t at app y:
_ Gas Piping _ Shutters -Windows/Doors
Sprinklers _ Generator _ Roof Roof pitch
Sq. Ft. of First Floor:_
Utilities: _ Sewer _ Septic
Building Height:
tW>v
i /LESS
o rR CfiOR }
Name Rejoice Boney
Name: James R. Brann
Address: 8428 Cobblestone Dr.
Company: The Porch Factory LLC
City: Fort Pierce State: FL
Zip Code: 34945 Fax:
Phone No. (786) 416-2573
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.
SUPPLiVIENTAI COfVSTRUCTION LIEN LAUV INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Seaside Engineers
MORTGAGE COMPANY: X_ Not Applicable
Name:
Address:4265 both Ct.
Address:
City: Vero Beach State: FL
Zip: 32967 Phone (772) 202-8008
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 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.
�Q_ A I&= -
La- A
wner/ Lessee/Contractor as Agent for Owner
Signat r=FLORIDA
Signatu a of mractor/License Holder
STAT
STATE F FLORIDA
COUNTY OF St. Lucie
COUNTY OF St. Lucie
The forgping instru, Dept was acknowledged before me
this�L" 'day of Y-217 [[M . 20,2 by
J
The for&W' g instru t was acknowledged before me
this "`day of f a Lq , 20� 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
(Si nature of Notary Public- State. Wnri a
ture of Notary Public- State of Florio(
auue CRISTINE MICHELLE
Commission No. GG 155618 _s " °`°;(5®al)e of Florida -NOW)
- Commission ii GG 1
L
Pu lic GG 1556 ,, ° m- KR� MICHELLE TA
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dksm ssion No. - c% gta Cd lorida-Notary Pu
H GG 1556
ac My Commission Expires
= = Commission
'o?'gF;;°�"� October 29, 20
19,�p�,y;' My Commission Expire
October 29, 2021
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Rev.8/2/17