HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:Permit Number: �G' a0g&EQ0.1—P6
MAR 0 5 T010
Permitting£ opartyent
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
PERMITTYPE:
PROPOSED'IMP,ROVEMtNT LOCATION... ,
Address: 4606 MAGNOLIA DR Fort Pierce, FL 34982
Property Tax ID #: 3402-605-0017-000-2
Site Plan Name:
Project Name:
install 24x35x10 enclosed building on new concrete
No Plumbing, No Electric, No Driveway"
Additional work to be performed under this permit — check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: 840 Sq. Ft. of First Floor:
Cost of Construction- >r Utilities: _Sewer _Septic
Lot N0.3 & 4
Block No. 33
—Windows/Doors
Roof Pitch
Building Height: 10
QWNER/LESSEE Y .t S4iQifCil *M-
. F
:GONTRAGTOR
aJyh..f.-ny ..ma%,
NameJames & Stephanie Farley
Name:James Player
Address:4606 Magnolia Dr
Company: Carports Anywhere
City: Fort Pierce State: _
Zip Code: 34982 Fax:352-468-1113
Phone No.352.468-1116
Address: PO BOX 776
City: Starke State: FL
Zip Code: 32091 Fax: 352-468-1113
Phone No352-468-1116
E-Mail:jbpermitsfl@gmail.com
Fill in fee simple Title Holder an next page (if different
from the Owner listed above)
E-Mailjbpermitsfl@gmail.com
State or County License CBC1251995
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC Is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL LFAW kNFORMAT ON
m
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City: State:
Zip: Phone
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Si ature of Owner/ Less / ntref for as Agbtlt for—ownerU
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF —+ Lur.T a
STATE OF FLORIDA S1Z FoRt�
COUNTY OF
The forgoing instrument was acknowledged before me
this .) day of Ftb r Aw: / 20a0 by
The forgoing instrument was acknowledged before me
this _ day of K—L+'Iz-c-H 20?O by
Name of person makin tatement.
Name of person making statement, —
Personally Known OR Produced Identification
Personally Known *_ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
✓V la�r�1 a `/ r
(Signature of tary Public- St te$f rida) MARYTHOMP
+¢�•�•,p Co mmlaslonR66329989
Commission No.G $�� '�Sealj1pIresMay10,2023
+� ty,aBxoyry,;
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(Signature of Not bI''
•;i,CPG4.., MARIAR.BURGB
Commission No. " :� Commission#GQ.
><puesAugust2 ,
"'Fo:v°�' 8ondodTMUTr0Y Fain Insurance 800.308d019
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