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ALL 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
PERMIT APPLICATION FOR:Screen enclosure
PROPOSED IMPROVEMENT LOCATION:
Address: 2646 CONIFER DR Fort Pierce, 34951
Legal Description: FIRST REPLAT IN MEADOWOOD UNIT THREE- LOT 63
Property Tax ID #: 1334-506-0020-000-8 Lot No. 63
Site Plan Name: Cook, Nancy Block No.
Project Name: Cook, Nancy
Setbacks Front Back: Right Side: Left Side:
I Screen enclosure on existing deck and new Tooter
Haamonai worK to oe perwrmea unaer tnis permit— cnecK 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: $ 8500.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Nancy Cook
Name: James R. Brann
Address: 2646 Conifer Dr
Company: The Porch Factory LLC
City: Fort Pierce State: FIL
Zip Code: 34951 Fax:
Phone No. 978-490-4064
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:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: admin@theporchfactory.com
State or County License: CBC 1258459
it value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
'SUPPLEMENTAL}CONSTRUCTION,LlEN
LAW INFORMATION � - -
DESIGNER/ENGINEER: a Not Applicable
MORTGAGE COMPANY:
X Not Applicable
Name: Seaside Engineers
Name:
Address:4265 60th Ct.
Address:
City: Vero Beach State: FL
City:
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.
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 vour Notice of Commencement.
C� - /1 A=,
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S=nature f Owner/ Lessee/Contractor as Agent for Owner
Signatur=ofntractor/License Holder
FLORIDA
STATEDA
COUNTY OF St. Lucie
COUNTY OF St. Lucie
The foxing instrument was acknowledged before me
thisit)" day of Seph Crrxp20J by
The forgoing inst ument was acknowledged before me
this Jor day of -Lb-tlr 20c�) 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
a"kW@ hate of Fio►Wa
(Signature of Nota Punmycomm
(Signature of Notary Publi ina Barre
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My Commission HH 081162
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MW Commission No. II�iH 0611 22
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Commission No. maw ExqSWI114=25
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17