HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONd "l
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: \a\ \5\\°\ SCANNED Permit Number:
BY
St. Lucie Conrf, RECEIVED
Building Permit Applicatio OCT 16 10'9
Planning and Development Services ST. Lucie County, F'tlrrfll€Sing
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Poolfence
PROPOS"Ei21i5�P tflUEMENT LOCA ttSN *;
Address: 10314Inverness Way
Legal Description: Callaway Place Lot 9 (OR 3255-744)
Property Tax ID #: 3321-802-0025-000-8
Site Plan Name: Callaway Place Lot 19
Project Name: Gimmi, Tina
Setbacks Front NIA Back: 42' Right Side: 70' Left Side: 7'
48" tall, 2-r it alum' um rail pool fence with (2) gates - gates to have magna latches and self -closing hinges.
-�c i ea kt°
_ HVAC _ Gas Tank —Gas Piping
_ Electric _ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 4800.00
Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor:
Lot No.19
Block No.
_ Windows/Doors
Roof Roof pitch
Utilities: _Sewer _Septic Building Height:
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Name Tina Gimmi
Name: James R. Brann
Address:10314 Inverness Way
Company: The Porch Factory LLC
City: PortSt. Lucie State: FL
Zip Code: 34986 Fax:
Phone No. (973) 207-3174
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
IT value of construction is W500 or more, a RECORDED Notice of Commencement is required.
f 1.
UtJI(7N[K/tIVGI Ntt:K: n Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
M
BONDING COMPANY: X Not Applicable
Address:
City:
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 your Notice of Commencement.
Sign re o Owner/ Lessee/Contractor as Agent for Owner
Sig ature f Contractor/License Holder
STA F FLORIDA
STATE OF FLORIDA
COUNTY OF St. Lucie
COUNTY OF St. Lucie
The fy�g�Ing instru en w ss acknowledge�d�1 efore me
this 2{�"day �r
before me
The r mg instr� �e�, t �No�s )VP
'day j"V,
of 20I by
this of 20by
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
( ignature of Notary Pu i�o@ d lorida-Notary Public
',
gnature of Notary Public- State of
z
- Commission # GG 155618
E MICHELLE TAYLOR
Commission No. GG 1 p,� My(,6eal1mission Expires
—� n,,,,i� 29, 2021
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ommission No. GG 1 5G, °„a%, i a -Notary Public
E'_SComm(6�o� 155618
October
_ f GG
Expires
My Commission
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Rev.8/2/17