HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number:' `y 0'�J`t
------- SGANNED
Building Permit Application BY
Planning and Development Services St. LudeComb,
Building and Code Regulation Division
--2300Virginia Avenue, Fort -Pierce -FL34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Poly Roof screen enclosure
11�1_ Awl
NO
Address: 5532 Spanish River Rd.
Legal Description: Portofino Shores - Phase Two - (PB 43-33) Lot 257
Property Tax ID #: 1312-502-0117-000-5 Lot No. 257
Site Plan Name: Portofino Shores Phase Two Block No.
Project Name: Cromwell, Richard & Lillian.
Setbacks Front N/A Back: 24.91' Right Side: N/A Left Side: N/A
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Poly roof with screen walls on new Tooter and paver deck
VAdd.: e..i!0.�
rtiona wor to be pertormed un er t is permit— cneCK all tat apply:
_ HVAC —Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Roof pitch
Total Sq. Ft of Construction: 166 Sq. Ft. of First Floor:
Cost of Construction: $ 11,475.00 Utilities: —Sewer —Septic Building Height:
t_' :
.`
'.01
Name Richard & Lillian Cromwell
Name: James R. Brann
Address: 5532 Spanish River Rd.
Company: The Porch Factory LLC
City: Fort Pierce State: FL
Address: 705 N 39th Street, Fort Pierce, FL 34947
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No. (5651) 622-9244
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
State or County License: CBC 1258459 '
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
4. PLEMElUT L CON it + F O{V L Eli► LA tl`
F(S;RMATIQ6 ; '`
ON
DESIGNER/ENGINEER: _ Not Applicable
Name: Seaside Engineers
MORTGAGE COMPANY:
Name:
X Not Applicable
Address:4265 60th Ct.
Address:
City: Vero Beach State: FL
Zip: 32967 Phone (772) 202 600a
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
commencing work or recording vour Notice of Commencement.
Signa re of O ner/ Lessee/Contractor as Agent for Owner
Signa re of Contractor/License Holder
STAT FLORIDA
ATE OF FLORIDA
COUNTY OF St. Lucie
COUNTY OF St. Lucie
The fo�r�Q,Ing instrument was acknowledged before me
gay
The forg9�jL.ng instrument was acknowledged before me
oS74&y /9
this of � 20L by
I`ll
this of 20 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 X OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
R 1 nature of Notary Pub - a e,p rjE MICHELLE TAYL
Florida -Notary Publi
(Ifignature of Notary Publ tpteiq plAldaI)NE MICHELLE TAYL
-Notary Pub
State of Florida
Commission No. GG 155 t1i ; C@5@ fission a GG 15561
P= NI C6mmission Expires
:o Sta`c9�of
GG 1551 1 I E con�@ys5lon N GG t55618
mmission No. - LbfNfnIssion Expires
MY
O,��y 2021
October 29,
"',�'eor1
,, October 29, 2021
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Rev.8/2/17