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INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I- ItJJ� Permit Number:
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Building Permit Application A ,9 !' 2"Z5 Lpc�
Planning and Development Services 6, . County
Building and Code Regulation Division 'ge..
2300 Virginia Avenue, Fort Pierce FL 34982 �'4jOl,y
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residenti o x
PERMIT APPLICATION FOR:Poolfence
Address: 21040 Glades Cut Off Rd., Port St. Lucie 34987
Legal Description: See attached for legal description
Property Tax ID #: 4221-224-0040-000-1
Site Plan Name: Jaques, Robert & Melissa
Project Name: Jaques, Robert & Melissa
Setbacks Front N/A Back: 1,224' Right Side:80'
Left Side: 148'
Install 110 LF of 48" tall, 2-rail pool fence -1 gate with self closing hinges and magna latch.
Lot No.
Block No.
_ HVAC _ Gas Tank _ Gas Piping —Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Roof pitch
Total Sq. Ft of Construction: N/A
Cost of Construction: $ 3,980.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic
Building Height:
'O NCR%+:ESS F:
fi~GO�lllil�iG�-TOR' - �`
Name Robert & Melissa Jaques
Name: James R. Brann
Address: 21040 Glades Cut Off Rd.
Company: The Porch Factory LLC
City: Port St. Lucie State: FL
Zip Code: 34987 Fax:
Phone No. (772) 528-6113
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.
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DESIGNER/ENGINEER: _ Not Applicable
Name: Seaside Engineers
MORTGAGE COMPANY:
Name:
X Not Applicable
Address:4265 both Ct.
Address:
City: Vero Beach State: FL.
Zip: 32967 Phone (772)202-6006
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name: __
BONDING COMPANY:
Name:
X Not Applicable
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.
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
as
SWE OF FLORIDA
COUNTY OF St. Lucie
Si =aturef Contractor/License Holder
FLORIDA
COUNTY OF St. Lucie
The for mg instrurnnt was acknowledged before me The forq2ing instrulirJ�ennt was accknowledged before me
this day of N r� 20� by this /day of ( ,20Z9 by
o 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 Produced
of Notary Public- State of
Commission No. GG 155618
REVIEWS
DATE
Rev
gr`TINE MICHI
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commission 0
My COmmla6
of Notary Public-
1 No. GG 15561
mission H GG
Commission^
PLANS I
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COUNNT I TER TER RENING VIEW W SUPERVISOR REVIEW I REVIEW VEGETATION I S EV EWEATURTLE I MREV EWVE