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: Pool enclosure
PROPOSED, IMPROVEMENT LOCATION:
Address: 113 Queen Catherina Court
Legal Description: QUEENS COVE -UNIT 2- BILK 22 LOT D
Pool enclosure on existing deck and Tooter
CONSTRUCTION INFORMATION:
Additions wor<to be performed under tis permit -c ec 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: $ 18600.00 Utilities: —Sewer —Septic Building Height:
-OWNER/L-ESSEE: _„
C-ONTRAC—T-OR:,
Name Christopher Hancock
Name: James R. Brann
Address:113 QUEEN CATHERINA CT
Company: The Porch Factory LLC
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No. 734-692-2000
E-Mail:
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
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 LIEI
DESIGNER/ENGINEER: _ Not App
LAW INFORMATION:
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:
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
cornmencing work or recording our Notice of Commencement.
(� -A A,
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 for oing instrument was acknowledged before me
this,%` t`day of LiGi_ir 201 by
James R. Brann
Name of
Personally Known ) R P 09c9a
Type of Identificat Oespina Borre
Produced My Commission HH 081102
lvsip�r Expire57171412025
I1, K i
(Signature of Notary Public- State of Florida )
Commission No. 14H 0'a iQ� (Seal)
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
COMPLET
Rev. 8/2/17
The fording instr ant was acknowledged before me
this /7 ZIay of` i 2021 by
James R. Brann
Name of person making state �M,ot Notary Public of Flo�tfa
Personally Known X OR Produce g� eType of Identification my Commi 081102
Produced NOVAw Expires01/14 0
(Signature of Notary Public- State of Florida )
Commission No. HH106110 a (Seal)
SUPERVISREVIEWOR I REVIEW I PLANS VREV EWON I SEATURTREVIEW RELE
VEWLE I M EVE
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