HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / ,y
Date: I A-7- 1 Permit Number: t [D tg U ��
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Building Permit Application
Planning and Development Services '" Cyst ®ap iB
Buildin
and Code Regulation Division
23000 Virg nia Avenue, Fort Pierce FL 34982 ®Co4 h;O4`
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Poly roof with screen wall, new footer SCANNED III
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PROPOSFb,�IMP.R®VFMENT LOCATION. _ , - . : c+ r..__ _
Address: 6258 Arlington Way, Fort Pierce 34951
Legal Description: Portofino Shores- Phase Two - (PB 43-33) Lot 78 (OR 3234-1396)
Property Tax ID #: 1312-502-0069-000-3 Lot No.78
Site Plan Name: Portofino Shores Phase Two Block No.
Project Name: Davis, Harley & Kamla
Setbacks Front NIA Back: 25' Right Side: NIA Left Side: 9.
Poly roof with screen walls. New footer under existing paver deck.
� CONSTRUCTION`INFORMATION
Additional work to be pertormea under this s permit —check eck all that apply:
_ HVAC _ Gas Tank _ Gas Piping _ Shutters -Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Roof pitch
Total Sq. Ft of Construction: 288
Cost of Construction: $ 9,675.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic
Building Height:
OU11NEf21_LESSEE 1 " `
c(N RACTOR
Name Harley and Kamla Davis
Name: James R. Brann
Address: PO Box 382
Company: The Porch Factory LLC
City:. Chocorua State: NH
Zip Code: 03817 Fax:
Phone No. (603) 726-1100
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: khdavis37@aol.com
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.
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
commencingwork or recordingour Notice of Commencement.
Rev.8/2/17
SU�'Pi.EM��ACC?N'STRU,CTIt�iV
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DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY:
X
Not Applicable
Name: Seaside Engineers
Name:
Address:42s5 soth Ct.
Address:
City: Vero Beach State: FL
City:
State:
Zip: 32967 Phone(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:
Signat a of net/ Lessee/Contractor as Agent for Owner
Si atu of Contractor/License Holder
STA E O LORIDA
E OF FLORIDA
COU OFSt. Lucie
COUNTY OF St. Lucie
The for,gggg��g ins�[1�m�ent was acknowledged before me
The forgp'ing in ument wa acknowledged beY re me
this�Q'"N'ay of lY1PD-Ml?L/ , 20� by
this�day o 20.Ia b
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
ft�
Produced
(S' nature of otary Public -State of Flor' a)
Si nature of Nota