HomeMy WebLinkAboutDale Bass Building ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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: Other
PROPOSED IMPROVEMENT LOCATION:
Address: 8310 Andrews AVE Fort Pierce, FL 34945
Legal Description: CROUCHVILLE ACRES LOT 3 (7.82 AC) (OR 2753-1090-13700-2541)
Property Tax ID #: 2323-601-0003-000-4
Site Plan Name: Bass
Project Name: Bass
Setbacks Front Back:
Right Side: Left Side:
Lot No. 3
Block No.
IDETAILED DESCRIPTION OF WORK: I
install 40x84xl2 enclosed steel building on new concrete no plumbing, no electric, no driveway
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit – check a appy:
HVAC 11 Gas Tank F]Gas Piping _ Shutters Q Windows/Doors
1-1 Electric 0 Plumbing Sprinklers Generator E]Roof 3,12 Roof pitch
Total Sq. Ft of Construction: 3360
Cost of Construction: $ 38760
SFt. of First Floor: 3360
Utilities: Sewer E]Septic
Building Height: 12
OWNER/LESSEE:
CONTRACTOR:
Name R Dale Bass & Dianna L Bass
Name: James Player
Address: 8310 Andrews AVE
Company: Carports Anywhere
City: Fort Pierce State: FL
Zip Code: 34945 Fax: 3524681 1 1 3
Phone No. 3524681116
Address:
City: Starke State: fl
Zip Code: 32091 Fax: 3524681113
Phone No. 3524681116
E -Mail: jbpermitsfl@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: jbpermitsfl@gmail.com
State or County License: CBC1251995
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 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 our Notice of Commencement.
Rev. 8/2/17
Signature of Owner% Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORI j ; r�f
STATE OY FLORIDA
COUNTY OF � —j' V l
COUNTOF k5f
The for in g instru n w � aFknowled � efore me
The forgoing instrument was acknowledged before me
�'
this day of / i 1 2Qby
this �-�'3'ay ofd ` ZO by
ame of person ralking statement
Name of person king statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Pr uced
Produced
(SignatuA�ofary Public- State f orida
i natur fNotaryPublic- StateofFoi a
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. v Pw�Notes P��hTlic State of Florida
Commission No. `t; McGuckm-Pignone
Commis ; ISSIO3/8E59
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17