HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
:_ j
Building Permit Application
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 X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address. 3750 WHITE WAY DAIRY RD
Legal Description: See attached
Property Tax 1D #: 2417-233-0002-030-5
Site Plan Name: Steggles
Project Name: Steggles
Setbacks Front Back: Right Side:
Replace meter can and outside panel like for like
Install generator interlock kit
Left Side:
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Acicirtional work to be pertormed under this permit —check all that apply:
OHVAC Gas Tank Gas Piping Shutters Windows/Doors
21 Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 784
Cost of Construction: $ 2360
S . Ft. of First Floor: 1148
Utilities: 0 Sewer 0 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name CJ Stuggles
Name: Donald B Green
Address: 3750 Whiteway Dairy Road
Company: Don Green Electric LLC
City: Fort Pierce State: FL
Zip Code: 34947 Fax:
Phone No.
Address: 1305 W 1st Street
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No. 772-418-5739
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: dongreenelectrjc@gmaii.com
State or County License: EC13007447
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: rNot 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.
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.
_L-n� 1-) 0
__
Signature of Owner/ Lessee/Contractor as gent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF MARTEN
COUNTY OF MARTEN
The fo of instrum t as ac cnowledge pefore me
Th ng instrume as a knowledgE�l fore me
this ay of 20 .: by
thiay of 20 by
Name of person making statement
Name of person making statement
Personally Known X OR Produced Identification
Personally Known X OR Produced Identification
Type f Identification
Type of Identification
rFu
ProduceA
(Sig u otary ublic- State of orida)
Co ission No. ssian 1tF 2
My Commission Expires
(Signa N tar
RISTIN LAND
Commission 1
Camm ssion No. Gommissibr��s
Januar 5, 2020
January 5,2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Legal Description
17 35 40 FROM SW COR OF NW 114 RUN N 88 DEG 30 MIN 21 SEC E
ALG114 SEC LI 45.02 FT, TH N 00 DEG 10 MIN 01 SEC E 330.11 FT, TH
N88DEG 31 MIN 06SEC E301 FT FOR POB, TH S 00 DEG 10 MIN 01
SEC W 136.82 FT, TH N 89 DEG 59 MIN 30 SEC E 7.49 FT, TH S 00
DEG10 MIN 01 SEC W 145 FT, TH N 88 DEG 30 MIN 21 SEC E 74.99 FT,
TH N 00 DEG 10 MIN 01 SEC E 281.98 FT MIL, TH S 88 DEG 31 MIN 06
SECW TO POB (0.51 AC) (47D) (OR 4040-1409)