HomeMy WebLinkAboutBuilding permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: l/` 0
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
PR IsC}SEa 1 i Rd1J ENT CATlC}�C _ r
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Address: 9632 Knollwood Dr
Legal Description: Monte Carlo Country Club - Unit Three - Lot 58
Property Tax ID #: 1327-701-0028-000-1 Lot No. 58
Site Plan Name: Monte Carlo Country Club Unit Three Block No.
Project Name: GHO Lot #58 Meadowood - Holley Res
Setbacks Front N/A Back: 12' Right Side: 33' Left Side: 63'
Pool enclosure on existing deck and Tooter
Hooitionai worK to ne performed u
_ HVAC _ Gas Tank
_ Electric _ Plumbing
Total Sq. Ft of Construction: 960
Cost of Construction: $ 11,000.00
Name GRBK GHO Meadowood LLC
Address: 590 NW Mercantile PI
r tnis permit — ci
Gas Piping
_ Sprinklers
all that apply:
_ Shutters _ Windows/Doors
Generator
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
City: Port St. Lucie State: FL
Zip Code: 34986 Fax: (561) 688-0909
Phone No. (561) 688-2020
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: James R. Brann
Roof Roof pitch
Building Height:
Company: The Porch Factory LLC
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: admin@theporchfactory.com
State or County License: CBC 1258459
IT vawe of construction is SZ500 or more, a RECORDED Notice of Commencement is required.
'SUPPLEMENTAL��CO'NSTRU�CTION�LIEN.LAI'N.�INFORMATION � s� � ' ��+ s�,�����,� `��;;���
r-y,`
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name: Seaside Engineers
Name:
Address:4265 60th Ct.
Address:
City' Vero Beach State: FL
City: State:
Zip: 32967 Phone (772) 202-8008
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.
Icertify 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
commencine work or recordinE vour Notice of Cnmmpnrpment_
A
SAnature f Owner/ Lessee/Contractor as Agent for Owner
Signatur=ofntractor/License Holder
FLORIDA
STATEDA
COUNTY OF St. Lucie
COUNTY OF St. Lucie
The f r Ing instru nt was ac owledge efore me
this ay of 20 by
The fgqrrgg��ng instru ent was acknowledged efore me
this My of 2Q�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
nature ofo E TAY LO R
NQf�
(Si nature of Notary Public- State of Florida
aYP� KRISTIN tart' Public
;oD B�'- State of Floricj
Commission N �; 1{{ , 155618
issio
Commission No. I<RISTINEI LLETAYLOR
, otary Public
Expires
a Q , My Commission
o �, ate of FI # GG 155618
Commission
' FOFF�°��, October 29,
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q.`(+i.''P:: My Commission E21
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Rev. S/Z/17