HomeMy WebLinkAboutBuilding Permit Application L 1
ALL APPLICABLE INFO MUST BE COivirLETED FOR APPLICATION TO BE ACCEPTEu- /� �£���aa
Date: Permit Number: JIM -F13a�
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
PROPOSED IMPROVEMENT LOCATION:
Address: 2840 LOn.esOrnu P�ru 1 roO ) , FQ✓� �l_e rc�. � ���
Legal Description: a3 35 3q S 434-23 FT a N (q3).S" Er 6-6 W )14 n-f IVW
94 ink 6LAD '14 -less`ess W 40 Fr ,fd r 0A KAJ - (2.94 Ae hoQ 1,291-50)
Property Tax ID#: 23a3 - 3go -b063 Cl n0-8 Lot No.
Site Plan Name: Block No.
Project Name: bran a 5C'O , LA I La-
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
(l�plaee Is1�-r'ri� v) �ncl� urs 6Y? .PV1&hn9 81616,
CONSTRUCTION INFORMATION: ,
Additional work to be nertormed under this permit—Check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters a Windows/Doors
11 Electric 0 Plumbing OSprinklers 0 Generator 0 Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 00 " a ° Utilities:ll Sewer Septic Building Height:
T'
OWN ERAESSEE: CONTRACTOR:
NameM ichul 4 Obco I J Name: James Brann
Address:884.0 LOnJ�snril �9 i r1t I rl• Company: The Porch Factory LLC
City: State:fl, Address: 7356 Commercial Circle Unit 4D
Zip Code: ?4545' Fax: City: Fort Pierce State:FL
Phone No. C7��� 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name:�ttY1�a�1-AIuMiOum��1Gln�o,�na+ LL0— Name:
Address:13(g3n 5&4-h cam. N 8i.X1_0 1_ _ Address:
City: Q State: fCity: State:
Zip: 337(00 Phone: 0 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 thepermit 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 Commencement.
s
Signatilre ofOwner/Lessee/Contractor as Agent for Owner S=aturef Contra or License Holder
F FSTAT LORID S FLO�F�A
COUNTY OF X�C; Lt F c COUNTY OF,X�'� �c_OJ
The f oing instruMent was acknowledged before me The for ng instrument was acknowledged before me
this ay c, f-e 2013by this day of Lclt_ 20 _a by
es`�&41
(Name of person acknowledging) (Name of person acknowledging)
U,A#I " hetu_
( ignature of Nota Public-State of Flo ' a) (Signature of Nota ublic-State of Floda
a)
Personally Known Produced Identification Personally Known 11OR Produced Identification
Type of Identification Produ T e of Identification Produced
std ;BRENDA-JOAN ROOT
Commission No. t (g@s1)rission#FF 90784 mission No. (Sea[)— 1_ - --
My Commission Expire + �� AN R0 •5
August 06 2
a My @prA.fflIsslaR €y0 a
Revised 07/15/2014 AUypi 06, 2019
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE 1
COMPLETE �I� .),/U�
INITIALSfA L-