HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
bate:_ SGANNED Permit Number: 1070- 0 01 -1
BY
St. RECEIVED
Lucie Countv
1,-Nw iiiii
Building Permit Application JAN 0 5 2017
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
Address:
Legal Description:
PropertyTaxlD#: Lot No.
Site Plan Name: btljoio_ Nichblas 4-Marie, Block No.
Project Name:
Setbacks Front Back: _ Right Side: _ Left Side:
DETAILED DESCRIPTION OF WORK:
so,rztn in 00-ar-ped ppyich.
I CONSTRUCTION INFORMATION: I
HVAC L=.[GasTank [___JGas Piping
Electric El Plumbing []Sprinklers
Total Sq. Ft of Construction:
Cost of Construction:$ 10-00,00 - —
S'hut'ters []Windows/Doors
Generator 1:1 Roof = Roof pitch
S Ft of First Floor:
Utilities'll SevverE]Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameMiChOlaS 4nd MA6.0
D_fAJlQ1&,
Name: James Brann
Address:41W 1i Iqla A04- ne
Company: The Porch Factory
City: State: 15L_
Zip Code: 34q4l Fax:
Phone No.(902) -793- 3&09
Address. 7356 Commercial Circle Unit 410
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@theporchfactory.com
State or County License: CBC 1258459
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: 4�t ��.A C A, AJJ n. Own
Addre
— Not Applicable
&mPn
Q)
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
City: r-mid4tt-W
Zip: 3 77&_0 PhoneT�d���
State: FL
1?000
City:
Zip: Phone -
FEE SIMPLE TITLEHOLDER:
Name:
)(—Not Applicable
BONDING COMPANY:
Name:
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. Lucie County makes no representation that is granting a permit will authorize thegermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws 0 ran 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
commeneft-work or recording vour Notice of Commencement
OF
The oing inqrument was acknowledged before me
this "M day of_1Ar,,arnJ)eL- 20t(. by
(Name of person acknowledging)
62:a4 Qlla�
(Signature of NotaV Public- �tate of FIc"d I
Personally Known
Type of Identifical
Commission No.
Revised-07/-1-5/2014-
OR Produced Identification
The forgoing ins ment was acknowledged before me
IN
thisag - dayc - 4 r—e rr%Off4— 20 L(,v by
(Name of person acknowledging)
pignature of NNry Public- State of Oor da)
Personally Known __Z__0R Produced Identification
Type of Identification Produced
MND�,J AN ROONE11
Comm M#FF907848 Commission
My Commission Expires
BRENDAP90iNN ROONE11
Commission 4) FF 907848 l[
06. 2019
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