HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 0-6 Permit Number: 7a,aa3-o 1s �
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Building Permit ApplicationFICEIVED
® 6 �s)
Planning and Development Services
Building and Code Regulation Division ounty, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Screen in porch
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Address: 5766 Sunberry Cir
Legal Description. Portofino Shores - Phase Two - Lot 516
Property Tax ID #: 1312-502-0228-000-6
Site Plan Name: Portofino Shores Phase Two
Project Name: Brooks, Jerry
Setbacks Front N/A -Back: N/A
Screen in covered porch - existing deck and footer.
Additional work to be pertormed
_ HVAC _ Gas Tank
Electric _ Plumbing
Total Sq. Ft of Construction: 121
Cost of Construction: $ 1,500.00
Right Side: N/A Left Side: N/A
under this permit — check all that apply:
_ Gas Piping _ Shutters
_ Sprinklers _ Generator
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
Lot No.516
Block No.
Windows/Doors
Roof Roof pitch
Building Height:
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Name Jerry M Brooks Jr.
Name: James R. Brann
Company: The Porch Factory LLC
Address: 5766 Sunberry Cir
Address: 705 N 39th Street, Fort Pierce, FL 34947
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
City: Fort Pierce State: FL
Phone No. (251) 752-5876
Zip Code: 34947 Fax: (772) 465-3252
Phone No. (772) 465-6772
E-Mail:seabee1_85@yahoo.com
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
IT vaiue oT construction is W500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
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:
Phon
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
commencing work or recording your Notice of Commencement.
n
Signatur of 0 ner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF St. Lucie
The for �o11'n��g instru t was acknowledged before me
this��ay of - "Ilfkalg4 2Q9 by
James R. Brann
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
Produced
(S' nature of Notary Public- S a F, •i a —
GG 155618 ``` RISTINE MICHELLE IF
Commission No. 0R 1 "B<<,( _ a) of Florida -Notary
=d *= Commission # GG 15
z My Commission ExK
/,FOF F"0' October 29, 202
'/II III���
- J, 6-�S�
SA=atur f Contractor/License Holder
F FLORIDA
COUNTY OF St. Lucie
The forr�p�.n,g instr t was acknowledged before me
this- Way of 2QW by
James R. Brann
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
Produced
ture of Notary Public- State of Flori
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lic GG 155618 ��� LL7TNfUOR
5i on fission No. ��� pub
res of KRiSTIN Florida Kota GG 55fes
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DATE
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DATE
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Rev. 8/2/17
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