HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: /���' 7 Permit Number:
Building Permit Application RECEIVE
Planning and Development Services IA� 1 z01�
Building and Code Regulation Division d
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: g13G SVyi- - &jp Nr, i?0f+ &-• L W-c- 3LI CI&
Legal Description:LaJus c--A ItA yi Ilea e_ (26 43-30 161k-1 Lo4 e7q Coe I� re-299)
Property Tax ID#: Lot No. _71q _
Site Plan Name: Block No.
Project Name: W+
Setbacks Front G Back: IZ •9 Right Side: (ol Left Side: -
A[/6-DETAILED DESCRIPTION OF WORK:'
Cx 4 rn ( s crun s.,neA d6 u rye w�4-h new cone ie-k ar,d Aoa)e-r,
_S' /
CONSTRUCTION INFORMATION-
Additional work to be nertormed under this permit—check all apply;
EjHVAC Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq.Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 3 VDU Utilities: Sewer[]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Name: James Brann
Address: MOLI A+10 nd-,`(_ Company: The Porch Factory
City:�SpLndduslc...i State:(2A Address: 7356 Commercial Circle Unit 4D
Zip Code: Fax: City: Fort Pierce State:FL
Phone No. tLk-).971 - )340 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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PLE A ONS RE Rev 3isfi�Ia L l lu w
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name:SLAnco asi Name:
Address:CA& lI &0 b 1 Address:
City:Non rumler State: L City: State:
Zip: 33'7laO Phone: n v53.7- 9000 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
commencing work or recording our Notice of Commence
s
Signature of Owner/Lessee/Contractor as Agent for Owner Sioffa-turej6f Contractor License older
VUNTVY
STATE OF FLORIDA� F FLORIDACOUNTYOF .�f l�U P� LIL OF
The for oing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this May of A4 20 " by this/d day of 20 �by
ran'h JQ.Me-s
(Name of person acknowledging) (Name of person acknowledging)
(Sign ture of Notary.P b c-State of Florida) (Signature of Not Public-State of Flo i a)
Personally'Known t/ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
BRENDA JOAN ROONEY
* *_ ommission
Revised 07/15/2014 .r =, ��; My Commission Expires
�,,► BRENDA JOAN ROONE August 06, 2019
�o��•�
?� Commission N FF 907848 '''""��"`c g
3�� My Co mission Expires
REVIEWS FRONT Aug VEGETATION SEA TURTLE MANGROVE
COUNT IEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
a
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name:SLAncoasir Name:
Address: N &0-161 UAddress:
City:CW ruAler State: FL City: State:
Zip: 33'7ty0 Phone: a- 9 00 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
corrinxinging work or recording our Notice of Commence
s
gnature Owner/Lessee/Contractor as Agent for Owner Wauref Contractor License olderOFFLORIDA FLORIDA Q�COUNTY OF 1�2� Li1. OF �'1 O=.U� 4M*
The for oing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this IL day of 20 rby this/n day of 20 j by
nh J0-Meg R,1 Qh�
(Name of person acknowledging) (Name of person acknowledging)
i
(Sign ture of Notary,P b c-State of Florida) (Signature of Not Public-State of Flo i a)
Personally Known�/ OR Produced Identification Personally Known v OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
BRENDA JOAN ROONE-Y
* t ommission
Revised 07/15/2014 "`�� '�. BRENDA JOAN ROONE My Commission Expires
+�,' •�"�: Commission k FF 907848 '''!oil% August 06, 2019
��� P'�r My Co mission Expire
REVIEWS FRONT Au t NS VEGETATION SEA TURTLE MANGROVE
COUNT IEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS