HomeMy WebLinkAbout12174 Riverbend Trace - Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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 X
PERMIT APPLICATION FOR: Pool enclosure
Pfit3PC}5ED IMPR1tMENT LOCATION 4 t
Address: 12174 Riverbend Trace
Legal Description: Bay St Lucie Lot 3 (MAP 44/22N)
Property Tax ID #: 4422-502-0007-000-8
Site Plan Name: Bay St Lucie
Project Name: Martinez, Gary
Setbacks Front N/A Back: 162.21' Right Side: N/A Left Side: 54'
Pool enclosure on existing deck and Tooter
Additional work to be performed under
_ HVAC _ Gas Tank
_ Electric _ Plumbing
Total Sq. Ft of Construction: 2108
Cost of Construction: $ 43,000.00
nis permit — cnecK an tnat apply:
_ Gas Piping _ Shutters
_ Sprinklers _ Generator
Sq. Ft, of First Floor:
Utilities: —Sewer —Septic
Lot No. 3
Block No.
_ Windows/Doors
_ Roof Roof pitch
Building Height:
�n 4
Name Fountain Plaza Investments LLC
Name: James R. Brann
Company: The Porch Factory LLC
Address: 737 SW Port St Lucie Blvd Ste A
City: Port St. Lucie State: FL
Zip Code: 34953 Fax:
Phone No. (561) 629-6421
Address: 705 N 39th Street, Fort Pierce, FL 34947
City: Fort Pierce State: FL
Zip Code: 34947 Fax: (772) 465-3252
Phone No. (772) 465-6772
E-Mail: 12174riverbend@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: admin@theporchfactory.com
State or County License: CBC 1258459
IT vawe or consiruction is :�zsuu or more, a KtcoKDtD Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
ut51UNtK/ENUINEER: _ 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:
UW 1vtK1 LON I RAC. -TOR 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 your Notice of Commencement.
(::D - A A--,--
Si nature f Owner/ Lessee/Contractor as Agent for Owner
S E OF FLORIDA
COUNTY OF St. Lucie
The for��gQm�g inst ment was acknowledged before me
this jl✓T'`�ay of �C►.'G/771ZZI� . 20�10 by
James R. Brann
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
Produced
J -�
(SiQhature of Notary-Pubf g-5% 6tF-1 1 b
Fl,' KRISTINE MIC LE TAYLOR
Commission No s< ;State of Flori((S ({tart' Public
_- Commission #t G 155618
My Commission Expires
October 29, 2021
REVIEWS I FRONT I ZONING
COUNTER REVIEW
RECEIVED
COMPLET
Rev. 8/2/17
Holder
STATE )OF FLORIDA
COUNTY OF St. Lucie
The this r4ay oftr}ttZent k5 nowle2Og�bfy re me
James R. Brann
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
Produced
(916hature of Notary Public- State of Florida
Commission No. I'll— vip, ea MICHELLE TAY
�" 6 -State ut Florida Notary P
Commission # GG 155(
i October 20, 2021
SUPERVISOR PLANS VEGETATION SEA TI RTLE =MAN"GROVE�u
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