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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