HomeMy WebLinkAboutBuilding Permit Application 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
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PERMIT APPLICATION FOR:Pool enclosure on existing deck with new footer
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PROPOSED IMPROVEMENT LOCATION:
Address: 212 Corinne Rd Fort Pierce, FL 34945
Legal Description:All of lots 7,8,9, 10, 11,23,24,25,26,27,28,29,30,31.All in Block 3,Jay Gardens Fort Pierce
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Property Tax ID#: 2311-601-0024-000-0 1 Lot No.7-11,23-31
Site Plan Name: Christina Selph Block No. 3
Project Name: Christina Selph
Setbacks Front Back: 100' Right Side: 44.8 Left Side:
DETAILED DESCRIPTION OF WORK:
Pool enclosure on existing deck with new footer
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CONSTRUCTION INFORMATION:
Additional work to be pertormed under t is permit—c ec a tat apply:
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_HVAC _Gas Tank _Gas Piping _Shutters _iWindows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
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Cost of Construction:$ 8650.00 Utilities: —Sewer 1 Septic Building Height:
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OWNER/LESSEE: CONTRACTOR: I
Name Christina Selph Name: James R.IBrann
Address:212 Corinne Rd Company: The Porch Factory LLC
City: Fort Pierce State: FL Address: 705 N 39th Street, Fort Pierce, FL 34947
Zip Code: 34945 Fax: City: Fort Pierce , State:FL
Phone No.772-201-1878 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@theporchfactoryicom
from the Owner listed above) State or County License: CBCI1258459
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is'required.
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'SUPPL'EMENTAL C�'NSTRUCTION LIEN LAW INFORMATION ' 1 � r � `� ti,
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name:Seaside Engineers Name:
Address:4265 both Ct. Address:
City: Vero Beach State: FL City: I State:
Zip: 32967 Phone(772)202-8008 Zip: iPhone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: City: I
Zip: Phone: Zip: Phone:
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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 fuses to anothe i 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 lattorney before
cornmencing work or recording our Notice of Commencement.
(�� - Iq A, ��)
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 forgoing inst invent was acknowledged before me The f ing instr ent was acknol lecig before me
this% day of 2t➢� by this day of LatobEK 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 I X OR Produced Identification
Type of Identification Type of Identification
Produced Produced
Notary Public State o :1ohdDespina Barre
Notary Public State of Florida My Commision H 0
-- - — Expires 01114
(Signature of Not 'StF�l ' 5 081102 (Signature of Notary Public-State
or n
Commission No. Commission No. (Seal)
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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