HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE CO w_, LETED FOR APPLICATION TO BE ACCEPT�Lj_
Date: �' �' / pp Permit Number: RECEIVEL
ing Permit Application !AN 05.2017
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 _
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: .10 _' L%Ia id _DUY BS 66-w. UnSZh ,C aM' 3g9s'7
Legal Description: Las l a4-
9 (o2 3& 6 - 665 (0,66 A-1-1 -401760
roperty Tax;ID#: 35 -0002 -000• '7 Lot No. /-L oL
Site Plan Name: /n� -�R 0 i�wn Block No.
Project Name: /Uh i CZ/)Q �S1'CLeh C2
Setbacks Front MIA Back: 14q. 3• Right Side: Left Side: QC �
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DETAILED DESCRIPTION OF WORK:
OCR L
[CONSTRUCTION INFORMATION:
Additional work to e Derformed un er t is permit—check all apply:
OHVAC 0 Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing OSprinklers M Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
r
Cost of Construction:$ //r qd0 Utilities: Sewer Septic Building Height:
OWNER/LESSEE t CONTRACTOR:
Name kalldtf _b• inl01,01a- Name: James Brann
Address: 104 Uj 1aq der: Company: The Porch Factory LLC
City: Soon State:-Lt Address: 7356 Commercial Circle Unit 4D
'Zip Code: '770 9-4 Fax: City: Fort Pierce State:FL
Phone No. (-)r)a-) f(o-La/tQ8� Zip Code: 34951 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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: ' Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Su 4- u1oUm Name:
Address: ! Address:
City: r State: City: State:
Zip: .3 '77(gQ Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: . Address:
City: City:
Zip: Phone: Zip: Phone:
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 Commencem
K2 — /� L��� , - 4 61_� s
SVatwef Owne/Lessee/Contractor as Agent for Owner S7,o-"
ure f Contractor License Holder
S FLORIDAQ I r OF FLORID
COUNTY OF %-Tr, LLtcI ?� COUNTYOF � .LGt C/�
The fo f going instr ent was acknowledged_before me The fo�going instrument was acknowledged before me
this -1 day of U,"U 20 �!by this_day of J6-A_Lt r:9 20 1'1 by
Q nn kkm-.--S K, TX4 h►'1
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Notary ublic-State of Flori (Signature of Nota Public-State of Florid
Personally Known OR Produced Identification Personally Known '1----OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
BRE
All ROONEY
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Commission#FF 907848
Revised 07/15/201 .c Commission#f FF 907848
FMy Commission Expires ,; ,r MY Commission Expires
�o '++mua August 06, 2019
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW RE IEW REVIEW REVIEW REVIEW
DATE
COMPLETE , ��
INITIALS