HomeMy WebLinkAboutBuilding Permit Application I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: - ZX-.'�)A Permit Number: `
SIGN
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 on existing deck and existing footer.
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Address: 135 Parliament Ct Hutchinson Island,Florida 34949
Legal Description:Queens Cove-Unit 1 -Blk 17 Lot D
Property Tax ID#: 1414-701-0161-000-2 - Lot No.D
Site Plan Name: Queens Cove Block No. 17
Project Name:
Setbacks Front n/a. Back: 15Y Right Side: n/a: Left Side: n/a
New pool enclosure on existing pool deck and existing footer.
Additional work to beperformed, under t ispermit-check all that apply:
HVAC _Gas;Tank _Gas Piping _Shutters _Windows/Doors
Electric Plumbing _Sprinklers _Generator _Roof Roof pitch'
Total Sq. Ft of Construction: 561 Sq. Ft.of First Floor:
Cost of Construction:$ 8350.00 Utilities: _Sewer _,Septic Building Height:
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� � -- CONTR CTOR � �
Name Stephen Ramsay Name: James R.Brann
Address:135 Parliament Ct Company: The Porch Factory LLC
City: Fort Pierce. State: FL Address: 705 N 39th Street, Fort Pierce, FL 34947
Zip Code: 34949 Fax: City: Fort Pierce State:FL
Phone No.631-3344845 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
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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DESIGNER/ENGINEER: _Not Applicable. MORTGAGE COMPANY: X Not Applicable Y
Name:Seaside Engineers Name:
Address:4265 60th Ct. Address:
Cjty: Vero Beach State FL Cjty: 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 Coun 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 Commencement.
A,
Si nature f Owner/Lessee/Contractor as Agent for Owner Signatur of ntractor/License Holder
E OF FLORIDA STATE F FLORIDA
COUNTY OF St.Lucie COUNTY OF St. Lucie
The f Ing instru nt was acknowledged before me The fo ng instru ent was acknowledged before me
this/ -d-ay of U .
20p91 by this ay of 26?/ 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
i nature of N ( i ature of Notary Public-State of Florida)
KRISTINEMICH L ETAYLOR
`�YPOA� KRISTINE fy1tLLE TAYLOR
Commission No �a ��;State of Flor tart'Public �t�irr„� bYy ��iJ
ommissio(n1# G 155618 Commission No. �,.Po
+ My Commission Expires to of Fl i otary.P.ublic
ac - = Commission # GG 155618
October 29, 2021 +-
o My Commission Expires
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REVIEWS , - FRONT ZONING . SUPERVISOR PLANS VEGETATiO'Wl '_-SSA MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED .
Rev.8/2/17