HomeMy WebLinkAbout2628 CONIFER DR - Permit App ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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: 2628 CONIFER DR
Legal Description:MONTE CARLO COUNTRY CLUB-UNIT TWO-LOT 103-LESS E 3.67 FT-
Property Tax ID#: 1334-502-0020-000-6 Lot No.103
Site Plan Name: Joseph Boriotti Block No.
Project Name: Joseph Boriotti
Setbacks Front Back: Right Side: Left Side:
DETAILED pESCRIPTION,OF WORK
Pool enclosure on existing deck and footer
CONSTRUCTION INFORMATION
Additional work to be per orme uncle t is permit—c eck 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:$ 12600.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE' CONTRACTOR
Name Joseph Boriotti Name: James R.Brann
Address:2628 Conifer Dr Company: The Porch Factory LLC
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. 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _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 Ph one(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.
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.
C� - / 1 //-1, 0 "q
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 forgoing ins ment was acknowledged before me The foFgping instr ent was acknowledged efore me
this.'.`'1'"day o1 �f�(]F 2 by this May of 2 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 of N li -SE MOaFl3Rtft (Signature of Notary Pub - f FRi9tft Fubiic State of Florida
My Commission H 081102 Despina Borre
Commission No. ar�� Expires 01114�20 My Cpmmi on HH 081102
t� ) Commission No. / Expirb�f14r2025
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17