HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED nn r 7
Date: Permit Number: oc00 1 ��
Building Permit Application
Planning and Development Services
Building and Lode 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
Address: 2709 Bent Pine Dr.
Legal Description: Monte Carlo Country Club - Unit Two - Lot 94
Property Tax ID #: 1334-502-0011-000-0
Site Plan Name: Meadowood Lot 94
Project Name: GHO Lot#94 Meadowood
Setbacks Front N/A Back: 51.0'
Pool enclosure on existing deck and footer.
Right Side: 48.0' Left Side: 14.2'
Lot No. 94
Block No.
_ HVAC _ Gas Tank _ Gas Piping _ Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Roof pitch
Total Sq. Ft of Construction: 1138
Cost of Construction: $ 11,500.00
Sq. Ft. of First Floor: _
Utilities: _Sewer _Septic
Building Height:
OWNER/LESSEE:. f'i':- ..'s.,CONTRACTOR:,
`g;n
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.
SUPPLEMENTAL CONSTRUCTI0N"LIEN
`LA�V INFORMATION:
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 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 vour Notice of Commencement.
4�L] A t/��
(;�L A /)'U�
Si ature wner/ Lessee/Contractor as Agent for Owner
Signatu a ontractor/License Holder
STA E OF FLORIDA
STATE OF FLORIDA
COUNTY OF St. Lucie
COUNTY OF St. Lucie
The for ng instrumen) wa acknowledged before me
this for
of %_'i.0 f , 20,20 by
The f rFQing instrum t wps acknowledged before me
thi-�WY of � 204?O by
James R. Brann IJames
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
(' natur ,:,�j�P �>;�,Qf Q �aA LOR
( ature of No ary Public- State of Florid
State of Florida -No ary , ublic
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29, 2021
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My Commission
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Rev.B/2/17