HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Per mit Number:
BY
-C . . . . . . . . . . . . St. RECEIVED
Lucie Countv
Building Permit Application DEC 15 2a16
Planning and Development Services PER-miTTING
Building and Code Regulation Division St. Lucie county, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-2578 Commercial Residential >/1
I PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line . III
I PROPOSED IMPROVEMENT LOCATION: III
Address: A43D ktadowpod Ir 166f+- PiP nu - EJL Si4ciS I
Legal Description: Qua:, I &n \Ji 11%e_ �SIAS I Ltni+ 'Iot, (09- '34A,5-,2SA46)
PropertyTaxlD#: 132-7 - 165 - 60 1 QL- Cop - ;�L_ Lot No.
Site Plan Name:
Project Name:
Setbacks Fri
Right Side: Left Side:
Block No.
I DETAILED DESCRIPTION OF WORK: III
SO,rx-cm - in SaCurvck +10&r ?0,rC-l`n on t-ron+- ariel. licici-clen o-P (Ani+.
Big
N INFORMATION:
OHVAC LiGasTank
DElectric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ .2400 - 00
Piping U S'h'u t . ters Windows/Doors
nklers 11 Generator Roof = Roof pitch
SIC Ft of First Floor:
Utilities: 12SewerE]Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name�Pb+rJc,?o_ A. M&qrw-
Name: James Brann
Address: I&S ElmiuVood 4ye—
Company: The Porch Factory
City: WolIII I I-e- State:
Zip Code: I SL[90 Fax:
Phone No.651g) (,(A- IsqL4
Address. 7356 Commercial Circle Unit 413
City: Fort Pierce State: FL
Zip Code: 34951 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@theparchfactory.com
State or County License: CBC 1258459
it value of construction is 5Z500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGI NEER:
Name:_&Ayuoa64-- Aum�roAm
— Not Applicable
Pn finfl.,110—
MORTGAGE COMPANY:
Name:
Not Applicable
Address:)31&30 594.h Sli-, Mai'+hPt 44 ID I
Address:
City: C"nijo-4-ft-
Zip: .13 -)(oQ Phone
State: FL.
9000'
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
. X NotApplicable
BONDING COMPANY:
Name:
_X_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: _ Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.LucieCoun makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in co 1lict with any applicable Home Owners Association rules, bylaws or an9covenants that ma estrictor prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions Yhr ch may apply.
w
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 fina ncin& consult with lender or an attorney before
7 Uwner/Lessee/Contractor as Agent tor Uwner ignatur otContraCtOT/LitengeHoicier
ur
T
CST EOFFLO SA&
FL a/
COUNTY OF
The f i i
is ying in"ment was acknowledged before me
th day of 00Z_ , 20)-(,.,by
Jap-knc rp"', r_�
(Name of person acknowledging )
_**� \�J
Personally Known OR Produced Identification
Type of Identification Produced
Th for Ang Instrum"t was acknowledged before me
thi: 7, day of 20 by
(Name of person acknowledging)
�SikKature of Notad Public-' State Florida)
Personally Known 1.14R Produced Identification
Type of Identification Produced
Commission No.
.t ;7411ILICIENDA JOAWRCIONE�
II I Commission No.
Commission # FF 907848
Revised 07/01_� X
BRENVAUJOAN ROONE
Commission N FF 907848
ust 06. 201
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FRONT
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SUPERVISOR
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MANGROVE
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REVIEW.
REVIE
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DATE
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INITIALS