HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
s .,. ;_�;` : ;:i-,w CEI'.'YD JAN 12 TO
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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line �k h�e
PROPOSED IMPROVEMENT LOCATION:
Address: sija m tj cad cWC(e 1 1 ,` 34
Legal Description: 1�1�/,. r E2P.nd (P6 Lo'h3ea) �-0-a
Property Tax ID#: L1411s`' r?D 3- 00,;?7 -000—0 Lot No. 01 c-•
Site Plan Name: Block No.
Project Name: SMMILL
Setbacks . Front Back: 1 Right Side•, Left Side:
FDETAILED DESCRIPTION OF WORK:
Al u,m i-n u rn Pao l n ce- w i J-h out.J-o Close p4es and nV,48"0-
CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit—check a apply:
11HVAC 13 Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers 11 Generator g Roof Roof pitch
Total Sq. Ft of Construction: Sq• Ft•of First Floor:
Cost of Construction:$ f5c` 1 Utilities:Ln�Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name a nn__ ,ji� Name: James Brann
Address: &A IV W fCLLG;�C 4t Company:.The Porch Factory
i 'City: 4Im G-4-(4 Stater Address:
7356'Commercial Circle Unit 4D
Zip Code: 3 � Fax: City: Fort Pierce State:FL
Phone No. C�loI)o�(oa ��97 Zip Code: 34951 Fax: (772)465-3252
E-Mail:171 ahiri eV C0(4o- oo ,Um 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.
1
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: 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
commeoicJng work or reqqrding your Notice of Commencement.
/h----k- K-) A s
Sign ure of Owner/Lessee/Contractor as Agent for Owner aturr o Contractor/License Holder
ST 'F FLORIDA TA E OF FLORI
COTE OF �12� CDUNTYOF 7t'Ltte--J-'-0
The forgoing instru(nent was acknowledged efore me The fling instru�nt was acknowledged me
this 3 day of CXLl1 20 l7by this_day of 20 by
S �L' rl
,
(Name of person acknowledging) (N me of person acknowledging)
Cigna ure of Notary P c-State of Florida) ignature of Not Public-Sta of Flo da
1
i Personally Known OR Produced onally Known OR Produced Identification
Type of Identification Prod I �„ OO a of Identification Produced
,.�`,e h 7
comfnission it��a0 a 8
,�,�;;:. BREND(��AN ROONE
Commission No. _' + (�I¢ommission Expire C mission No. ° °�'-
��6�Fpvr Auguai 06, 2Q19 ?. t=_ Commission#FF 907848
My Commission Expires
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEVY REVIEW REVIEW REVIEW
DATE
COMPLETE d 6
INITIALS