HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: aoin • 0165,
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2306 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Pool Enclosure
PROPUSED IIt�PROVE',�ENT Lt�.CATIC+N�
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Address: 2366 S Brocksmith Rd
Legal Description: Subdivision of MC Nurlen Farms Blk 1 Lot 16
Property Tax ID #: 2320-501-0016-000-2 Lot No. 16
Site Plan Name: Subdivision of MC Nurlen Farms Block No. 1
Project Name: Sanz, Sean & Cynthia
Setbacks Front NIA Back: 194' Right Side: 1,006.35' Left Side: 280.04'
Pool enclosure on existing deck and footer.
Additional work to be pertormed under tnis permit— cneck all tnat apply:
HVAC _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Roof pitch
Total Sq. Ft of Construction: 1872 Sq. Ft. of First Floor:
Cost of Construction: $ 13,500.00 Utilities: —Sewer _ Septic Building Height:
�OuvE%/sE
oNTRAeoR ti r
Name Sean and Cynthia Sanz
Name: James R. Brann
Address: 2366 S Brocksmith Rd
Company: The Porch Factory LLC
City.. Fort Pierce State: FIL
Address: 705 N 39th Street, Fort Pierce, FL 34947
Zip Code: 34945 Fax:
City: Fort Pierce State: FL
Phone No.
Zip Code: 34947 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
State or County License: CBC 1258459
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is regwrea.
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SUPPLEMENTAL CONSTRUCTION�UENLAW INFORMATION
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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.
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 vour Notice of Commencement.
S=nature f Owner/ Lessee/Contractor as Agent for Owner
Signatur of ntractor/License Holder
FLORIDA
STATE F FLORIDA
COUNTY OF St. Lucie
COUNTY OF St. Lucie
The for o' g instr ent was ac nowledged before me
Way
The fo Ing instr ent was acknowledged before me
this v5f clay of b4,1 20_.M by
this of p,y-, 202Q 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
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g ature of Notary bU
HELLE TAYLOR
(Si n ure o e r T YLOR
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KRISTINE
Commission No. `ems State rida-NotaryPubli
on # GG 155618
FY PU'�i
__ `;State of Florida -Nola Public
:'o`" °'- 5618
ommission .- fission #(6ea1 ,
Q Commiss
p,: My Commission Expires
= 9 Q\` My Commission Expires
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October 29, 2021
IJFJ ' October 29, 2021
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Rev. 8/2/17