HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i '
Date: �0 �� ri �i�� Permit Number: °t clo �b "l'O
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 Pool enclosure
PROPOSEDIMPEt®UEME,NT�LOGA'iON�� 'b��'��, .`:'_�„''��'•�`���'�."s�;�.' �.....'.:_'
Address: 2982 Bent Pine Dr.
Legal Description: Monte Cado Country Club - Unit Three - Lot 261
Property Tax ID #: 1327-701-0081-000-0
Site Plan Name: Monte Carlo Country Club - Unit Three
Project Name: GHO Lot #261 Meadowood
Setbacks Front NIA Back:31'
Pool enclosure on existing deck and footer.
_ H VAC
Electric
_ Gas Tank
—Plumbing
Total Sq. Ft of Construction: 1075
Cost of Construction: $ 10,800.00
Right Side: 42' Left Side: 35'
nis permit —cnecK au tnat apply:
_ Gas Piping _ Shutters
_ Sprinklers _ Generator
Sq. Ft. of First Floor:
Lot No. 261
Block No.
Windows/Doors
Roof Roof pitch
Utilities: _Sewer _Septic Building Height:
OWIQtfQ ESSEE s,` . _ ,41, _ d
Name GRBK GHO Meadowood LLC
Name: James R. Brann
Address: 590 NW Mercantile PI
Company: The Porch Factory LLC
City: Port St. Lucie State: FL
Zip Code: 34986 Fax: (561) 688-0909
Phone No.(561)688-2020
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.
5 „P�� EtVI (VT ISONSTRU�CfIOiV LIEN L4W INFflR'MATI®I'
eM..
DESIGNER/ENGINEER: _ Not Applicable
Name: Seaside Engineers
MORTGAGE COMPANY:
Name:
X_ Not Applicable
Address:4265 both Cf.
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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or andpcovenants 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.
SiSi a�r/ Lessee/Contractor as Agent for Owner
S'gnatu of Contractor/License Holder
STATE OF FLOPDA
LuOix-
STATE OF FLO A
L U&e,
COUNTY OF .
COUNTY OF -
The for)�4,{p.9 instrumegt was acknowledged before me
AA by
The forgoy'ng instrutgent was acknowledged before me
this�fytfay of %�.l( /U 2&dO by
thisI+`6ay of i14A 202D
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- State of Flo Id )
(slg ature of Notary Public -State of Florida
Commission No. KRIS IN S2ffi ELLETAYLOR
State of lori�-Notary Public
Commission No. �"""'�� KRISTIN�ii §OELLETAYLOR
of orida-Notary Public
_ = Commission If GG 155618
sState
, = Commission # GG 155618
My Commission Expires
io`c My Commission Expires
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REVIEWS
F
0
SUPERVISOR
PLANS
VEGETAT OMB
1 ORTL
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17