HomeMy WebLinkAboutBuilding Permit originalALL 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:144 LF Aluminum Rail Fence with 2 Gates
PROPOSED IMPROVEMENT LOCATION:
Address: 2744 S Brocksmith RD
Legal Description: SUBDIVISION OF MC NURLEN FARMS BLK 4 LOT 4 (9.64 AC) (OR 1650-294 : 1820-2736)
Property Tax ID #: 2320-501-0056-000-4 Lot No. 4
Site Plan Name: Roche, Miriam Block No. 4
Project Name: Roche, Miriam
Setbacks Front Back: Right Side: Left Side:
1 144 LF Aluminum Rail Fence with 2 Gates - 48" tall
Haaitionai worK to oe perrormea
_ HVAC e Gas Tank
_ Electric _ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $
unaer tnis permit — cnecK an tnat apply:
_ Gas Piping _ Shutters _ Windows/Doors
_ Sprinklers _ Generator Roof Roof pitch
Sq. Ft. of First Floor:
Utilities: `Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Miriam Roche
Name: James R. Brann
Company: The Porch Factory LLC
Address: 2744 S Brocksmith RD
City: Fort Pierce State: FL
Zip Code: 34945 Fax:
Phone No.
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTALtGON$TRUCTION
LIEN >r W INFORMATION_
DESIGNER/ENGINEER: 4 Not Applicable
pp
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) 202-6008
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 Horne 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 our Notice of Commencement.
C� - A /L,— 0 'q I /A,'
Si nature f Owner/ Lessee/Contractor as Agent for Owner Signatur of ntractor/License Holder
S E OF FLORIDA STATE F FLORIDA
COUNTY OF St. Lucie COUNTY OF St. Lucie
The forgoing instrument was acknowledg, efore me
this of ,)Qd�" LLQ 1'U 20�' by
James R. Brann
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
Produced
The forgoing instrument was acknowledged before me
this � day of ..ICE LLIQ-yrL 200 by
James R. Brann
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
Produced
(Signature of N a IC- %Wyq�,&Qri3AJ of Florida (Signature of Notary P lic�of t�latORIbiic $1810 0
Des *Borne Oespina sorre
Commission No. " + MY Der*
dlrlYf51102 ply C mr • on HH 081102
ofw xpi s01114 02 r Commission No. ora Expir 12025
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
COMPLETED
Rev. 8/2/17