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
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
PROPOSED IMPROVEMENT LOCATION:
Address: 7808 James RD Fort Pierce, FL 34951
Legal Description: LAKEWOOD PARK -UNIT 3- BLK 18 LOT9 (MAP 13/14N) (OR 4017-2500)
Property Tax ID #: 1301-603-0039-000-0 Lot No. 9
Site Plan Name: Yolanda Gomez Block No. 18
Project Name: Yolanda Gomez
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Poly roof screen enclosure on existing deck and Tooter
CONSTRUCTION INFORMATION:
Additional work to be pertormed under this permit —check all that apply:
HVAC — Gas Tank — Gas Piping — Shutters Windows/Doors
_ Electric _ Plumbing _ Sprinklers — Generator _ Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 7600.00 Utilities: —Sewer —Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Yolanda Gomez
Name: James R. Brann
Address: 7808 James RD
Company: The Porch Factory LLC
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 772-318-9211
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: admin@theporchfactory.com
E-Mail:
Fill in fee simple Title Holder on next page (if different
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
DESIGNER/ENGINEER: _ Not Applicable
Name: Seaside Engineers
Address:4265 60th Ct.
City: Vero Beach State: FL
Zip: 32967 Phone (772) 202-8008
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
LAW INFORMATION:
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 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.
C� -A A,
.
0
S=nature f Owner/ Lessee/Contractor as Agent for Owner
Signatur of ntractor/License Holder -
FLORIDA
STATE F FLORIDA
COUNTY OF St. Lucie
COUNTY OF St. Lucie
The f,o�� rg�gqing instr ment was acknowledge before me
day o
The fogging instru ment was acknowledged before me
this /��' day fJ 20�� by
this gLr'3t 20 by
o
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 of No r}pll�%r St Nt=Borre
(Signature of Notary Public t orik!" Public State of Florid
fiAy
CommissionNo.
spina Borre
ssion HH 081102
Commission No. `� *A� E �r1�r1o25
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17