HomeMy WebLinkAboutBuilding Permit Application ,
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ,ocil----0 2 /
Date: 4/2/19 Permit Number: j,„:„,
-fc. :,, f.:J ? 2, -' RECEIVEf
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Catifat " . APR 121018
,' immeilviim- Building Permit Application
Permitting Department
Planning and Development Services St.Lucie County 1
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X -
PERMITTYPE:Chickee Location Permit
PROPOSED IMPROVEMENT LOCATION':
Address: 2805 Grove Drive Fort Pierce, FL 34981
Property Tax ID#: 2420-810-0004-000-1 Lot No.4
Site Plan Name: Web Block No.
Project Name: Web Chickee Hut
DETAILED DESCRIPTION OF WORK:
Custom built open-side chickee hut with thatched roof of palm,and that does not incorporate any electrical,plumbing,or other non-wood features.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 400 sq ft Sq. Ft.of First Floor:
Cost of Construction:$ 14000 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameFuzzie Webb Name:Oliver Scott McCauley
Address:2805 Grove Drive Company:Big Kahuna Tiki Huts, Inc.
City: Fort Pierce, State:_ Address:601 Monroe Ave
Zip Code: 34981 Fax: City: Cape-Canaveral _---. . State:FL
Phone No.772-971-9602Zip Co e�32920 Fax:
E-mail:Fuzzie.harris86@gmail.com Phone No877-249-4038/586-943-9948
Fill in fee simple Title Holder on next page(if different Mailtikipermit@gmail.com rn a t-11:
from the Owner listed above) atate or County License CBC12599 1
If value of construction is$2500 or more,a RECORDED Notice of Comm—lice- -nt is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is require.. • • •
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:Carey Wilkinson P.E.#80472 Name:
Address:3240 N Calloway Rd. Address:
City: Lakeland State: FL City: State:
Zip: 33810 Phone386-937-1949 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
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 thesubject structure
which is in conflisu
ct 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WIT;jn R LENDER OR AN ATT 0.' EY BEFORE RECOR��..Y�_UR NOT OF COMMENCEMENT.�,
' Pr .1,
II Vic,1161
ure of O r/; ss C•*tractor as Agent for Owner Signature of Contractor/License Holder
STATE OF COUNTY OF ORIDq,!z 1LU STATE OF FLOR �a-��
Il�i��)) COUNTY OF (�1
The f going inst meat was acknowledg before me The fp(going instr ent was acknowledge before me
this \ day of )�.k ,20 by this' `1 day of ` Qui , 20 I by
F41„0-7. 0?i.�) l(� �&cirir
Name of person g stateme t. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Id�q fi.atiorJ. 1. , Type of Identification
Produced S,.J�(��1 I L �� Produced
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(Signature of Notary ublic-State of• v+lea,,) SADIELNAVE (Si�tature of Notary Public-State
�\\7.1.:,-1 ;'ia+Y r'%%" sADIE.NAw
N ;^'� Notary Pubiic—State of Florida ( r q 4;'
• Commission lis
GG 07954 ,• Notary Public—State of F ori>8
Commission No 5tl( :,.• fG: l) Corlmission NoQA O1d15 ;I) Commissian400079 41; + r• M Comm.Ex Iris Mar 6,2m2t
:;;.�:�P' lio ded through National Notary,ssn. ':y ' ' tr' My Comm.Expires Mur 6,20
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER ; REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
'RECEIVED
DATE
COMPLETED
Rev. 2/7/19
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Permit Number � I
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
COUNTY Building and Code Regulations Division
r i o R t o
—11111111111111011111111.111.— 2300 Virginia Ave
Fort Pierce,FL 34982
(772)462-1553
APPLICATION FOR CIIICKEE LOCATION PERMIT
SITE ADDRESS: C),O5 6cove
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PROPERTY TAX IDENTIFICATION#: �i L V t o- 000+-co
APPLICANT'S NAME: 01 I ,t_( MLC&U lc( L{
APPLICANT'S ADDRESS if different from above: 0 l v i ci$\9O‘e
CITY:CICLQ.eO COICILLe k.0 STATE: V-- L ZIP CODE:3-2_,q)_0
SEM1OL OR MICCOSUKEE(circle one)TRIBE ENROLLMENT NO.:M•1 l4S°‘ CONTRACTOR LIC NO.:L 3 IOS 4q i
CHICKEE HUT DESCRIPTION OF MATERIALS TO BE USED AND SIZE:
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4-k a- t,)d oo vvat
I HEREBY ACKNOWLEDGETHA'I"I'HE ABOVE INFORMATION IS CORRECT AND ACKNOWLEDGE THAT THE CHICKEE HUT TO BE
CONSTRUCTED WILL NOT INCORPORATE ANY ELECTRICAL,PLUMBING OR OTHER NONWOOD FEATURES.
SIGNATURE OF CONTRACTOR OR
OWNER/BUILDER
OF/22i 1
STATE OF FLORIDA,COUNTY OF/;/ ',� .3',
t ? .!�r €. 4 uv i;... r
ACKNOWLEDGED BEFORE ME THS � DAY OF � r g i ,20 1 1 , � � •• SADIE,NAVE
r .c Nota Public-State of Florida
BY € �+ 4�` e 1' 1 { t `� �tfH015 PERSONALLY KNOWN TO ME(> ), ( ' ; •. femmissiongGG 079541•
OR WHO.HAS PRODUCED E AS IDENTIFICATION hly Comm.Expires Mar 6,202t
4 ''..F.'•'• Sanded through National Notary Assn. t
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SIGNATURE OF NOTAR
For office use only
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Zoning District: Setbacks: front: back: side: rear:
Setback verified on plot plan: Yes/No