HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �Oy ri o �U Permit Number(305S
:
RECEIVED
Building Permit Application NOV 0 5 2018
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
PERMIT APPLICATION FOR: Pool enclosure
ST, Lucle County, Permitting
Residential x
PROPOSED IMPROVEMENT LOCATION: � "VIVA..
Address: 3148 Brocksmith Rd.
Legal Description: Drawdy/Brocksmith Road Subdivision (PB 75-23) Lot 2 (5.18 AC - 255,641 SF) (OR 4062-593)
Property Tax ID #: 2329-502-0002-000-1 Lot No.2
Site Plan Name: Drawdy/Brocksmith Road Subdivision Block No.
Project Name: Atlantic Coast Transport LLC - Macias% ,
Setbacks Front N/A Back: 325.57' Right Side: N/A Left Side: 172'
DETAILED DESCRIPTION OF WORK:
Pool enclosure on existing deck and footer.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all -that apply:
HVAC _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Roof pitch
Total Sq. Ft of Construction: 1972
Sq. Ft. of First Floor:
Cost of Construction: $ 9,065.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Atlantic Coast Transport LLC
Name: James R. Brann
Address: 3120 Rogers Rd.
Company: The Porch Factory LLC
City: Fort Pierce State: FL
Address: 705 N 39th Street, Fort Pierce, FL 34947
Zip Code: 3;4981 Fax:
City: Fort Pierce State: FL
Phone No. (772) 519-0092
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
IT value of construction is W5oo or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Seaside Engineers
MORTGAGE COMPANY: X Not Applicable
Name:
Address:4265 both Ct.
Address:
City: Vero Beach State: FL
City: State:
Zip: 32967 Phone (772) 202-8008
I
Zip: Phone:
FEE SIMPLE
TITLE HOLDER: X Not Applicable
BONDING COMPANY: X Not Applicable
Name:
Name:
I
Address:
Address:
1
City:
City:
I Phone:
I
Zip: Phone:
Zip:
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 thel first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
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S' ature 1 Owner essee/Contractor as Agent for Owner
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Sign ure f Contractor/License Holder
kM,601 FLORIDA
STATE OF FLORIDA
COUNTY OF St. Lucie
COUNTY OF St. Lucie
The for g instrument was acknowledged before me
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The for o'ng instr ent
day
as acknowledge efore me
20 by
this ay of 01" 20,JS by
this of
James R.1 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
( ignature of Notary Pul
S' nature'of Notary Public- State of rfo ida
�� KRISTINE MICHELLE TAYLO
`a�,Statq$#�llorida-Notary Publi
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Commissio l No. GG 1
ommission No. GG 1
p� t�¢, OR
6 �YPV'�q KRISTyQIE �Q,ICHELLE TAYL
° ;State bP�4tllida-Notary Public
Commission # GG 155618
Gommission # GG 15561E
ove�RAz My Commission Expires
My Commission Expires
October 29, 2021cirjnhar
29 2021
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