HomeMy WebLinkAboutBuilding Permit Application I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: to
x
Building Permit Application
Planning and Development Services
Building and Code Regulation Division j
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578; Commercial Residential x
PERMIT APPLICATION FOR: Poly roof screen enclosure on existing deck and new footer
PRCIPC���C� tl1�l_r�RQ�/� EN�'�.t�G�►Tl�t(V� _ t '` ,
u_1Z.. t t
i
Address: 4911 Paleo Pines Cir Fort Pierce,FL 34951. .
HOLIDAY PINES S/D-PHASE II-B-LOT 329(MAP 13/13N)(OR 3848-573)
Legal Description:.
PropertyTax ID#: 1312-801-0,132-000-4 Lot No.329
'.Site Plan Name: Holiday Pines Block No.
i
Project Name: Martucci,Pamela .
Setbacks Front -Back: 109 Right Side: Left Side: 21.4
Poly roof screen enclosure on existing deck and footer with one beam.
�C�N�TRUCTION;FNFC►RM�.�10�1� t r
Additional work to be performed under t is permit—c ec all that apply:
i
_HVAC _Gas Tank _ Gas Piping —Shutters _Windows/Doors
—Electric _Plumbing —Sprinklers _Generator _Roof Roof pitch
Total Sq. Ft of Construction; 426 Sq. Ft..of First Floor: i
Cost of Construction:$ 16900.00 Utilities: Sewer _Septic Building Height:
— I
'SJ YYER�1r�rl.rr �S Y '
Name Pamela Martucci Name: James R. Brann
Address:4911 Paleo Pines Circle Company: The Porch Factory I LC
City: Fort Pierce State: FL Address: 705 N 39th Street, Fort Pierce,FL 34947
Zip Code: 34951 Fax: City: Fort Pierce State:FL'
Phone No.216-403-5664 I 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.
i
'"SUPPLEMEN NS,TRUCTfON LfEN LAW 1NFORMATI�N
` 4
pp
DESIGNER/ENGINEER— Not A (icable
MORTGAGE COMPANY:: X—Not Applicable
Name.Seaside Engineers Name:
Address-4265 60th Ct. Address: ...
CItY: Vero Beach State: FL City: State:
Zip: 32967 Phone(77,2)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.a"s indicated..
.1 certify that no work or installation has commenced prior to the issuance of a permit.
StJucie County makes'nor representation that N granting a:permit.will authorize.the permit-holderto 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 Horne 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 respectsi 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 a4ull concurrency review room additions,
accessory structures,swimming;pools;fences,walls,signs,screen rooms and'accessory uses.to another non-residential.use.
WARNING TO OWNER,Yourfaifure 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 of an attorney before
commencin g work or recording our Notice of Commencement.
Si nature f Owner/Less ee/Contractoras Agent for Owner Signatur=FFLORIDA
ctor/License Holder
S f OF FL0'RIDA STATE
COUNTY OF St. Lucie COUNTY OF St. Lucie
Tlie forgging.instru ent was acknowledged-before me The forgging.instrument was acknowledged before me
tht day of�� ,:2Q L4 by thi;2 day of .t 20 4 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
'(Signature o Nota Public. or ry` u is ?o c i nature of Notary Public-S da taffy Public Su:.
g {f} r1' ina Soge ( g { �! �` /� spina Some
f f+t����t�C .. • My commission HH .at"02 ci f''1 i ah�:'(/p� • • �Ay
Commission No. �$ p01Y19t2025 C4missionNo. �� ( � d/1412025
..,
ti
REVIEWS FR
ONT ZOlV.ING SUPERVISOR, PLANS VEGETATION -SEA TURTLE MANGR
OVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17