HomeMy WebLinkAboutBuilding 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 Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Pool Enclosure
PROPOSED IMPROVEMENT LOCATION:"
Address: 2702 Bent Pine Dr
Property Tax lD #: 1334-502-0089-000-7
Site Plan Name: Monte Carlo Country Club - Unit Two
Project Name: Brockway, Faith
New Electrical Meter Second Electrical Meter
CONSTRUCTIOWI NFQRIVIATION
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping
_ Electric — Plumbing _ Sprinklers
Total Sq. Ft of Construction: 1242
Cost of Construction: $ 13,300.00
Lot No.208
Block No.
_ Shutters _ Windows/Doors _ Pond
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
1 Name Jimmy and Faith Brockway
Address: PO Box 5510
City: Fort Pierce State: FL
Zip Code: 34954 Fax:
Phone No. (772) 332-5568
E-Mail:
Fill In fee simple Title Holder on next page ( if different
from the Owner listed above)
Name:James R. Brann
Company -The Porch Factory
Address: 705 N 39th St.
City: Fort Pierce State: FL
Zip Code: 34947 Fax: (772) 465-3252
Phone No (772) 465-6772
E-Mail admin@theporchfactory.com
State or County LicenseCBC 1258459
it value or consrrucsion is ZSuu or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN
_ Not Applicable
Name: Seaside Engineers
Addre$S:4265 Both CL
City: veroBeach State: FL
Zip:32s67 Phone(772)2o2-Boos
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: x Not Applicable
Name:
Address:
City:
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornev before commencing work or recording vour Nntirp of rnmmanramPnt
Signature f Contractor/License Holder
�rgnaattu e' of Owner/ Lessee/Contractor as Agent for Owner
ATEE OF FLORIDA
S= FLORIDA
COUNTY OF Sr.u,ae
COUNTY OF st. Lucie
S rn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
ical Pres nce or Online Notarization
X P sical Prese ce or Online Notarization
this_Mh
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James R Brann
James R Bmnn
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
Prnbuced
Prod ced
rgnature of Notary P -
MICHELLE TAYL
of Notary Public- Sta _TINE
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REVIEWS
FRON „--K-4
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PERVISOR
PLANS
VEGETATION
SE .r,U
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20
\YLOR
Public
5618
sires
1