HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE Li nviPLETED FOR APPLICATION TO BE ACCEPS Eu �7 2
Date: �'t-1 � �prf Permit Number: �co.L- 0013
RECEIVED
Building Permit Application FEe 0 4 2020
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSFn IMPROUFMEW LOCATION. °.
Address:
Legal Description:
Es
.FL
Property Tax ID #: Zvi 2 L." 220O QC)D 1 -0C)(2- 1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back:
Right Side: Left Side:
il�5tiflI 2kPX�9)1N e;yld sed
i�o pl�mbinr� no electr► r% dr;v'"
CONSTR(1CTI0N 1'NF ik WlQN:
Add
itional worKtoi)eDerrormed under MIS permit cneCK all inal apply.
❑HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
❑Electric ❑ Plumbing Sprinklers ❑Generator ❑ Roof ❑ Roof pitch
Total Sq. Ft of Construction: (91 1(0 S Ft. of First Floor: b
Cost of Construction: $ 0� q )S 'Oo Utilities: Sewer ❑Septic Building Height:
,Q,WNER/LESSEE,�:..� .E. ,q ,,., ,...`.:._„ .,nCO�NTRACTOR
.E: ..�..,.; •.. .: ,..... .gam.
Name
hri
M01Y101 r
Name: James Player
Addresss::,� 21i 10r—p V ' A ,
Company: Carports Anywhere
City: 19-1 LQ State:
Zip Code: :�40IIJ5 Fax: 352'y1o'b'111�j
Phone No. 5—V11L40
Address: PO BOX 776
City: Starke State: FL
Zip Code: 32091 Fax: 352-468-1113
Phone No. 352-468-1116
E-Mail: '.�OP Yln� rJ mat • C.Om
Fill in fee s4ple 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 $2S00 or more, a RECORDED Notice of Commencement is required.
DESIGNE//Ryy�/�E.1�N�1yG,r1rA.InN,,EER:{ �nyyl�rtNsotApplicable
Name: MO% %Q/VV i V"�1
V\hY\
MORTGAGE COMPANY:
N am e: James Player
Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City: Starke
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address: Po aox 776
Address:
City:
City:
Zip: Phone:
Zip`. Phone:
SUPPLEIVIENTAL�CONSTRr' IONLIEN LAW INFORMATION:
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
commencingwork or recordingour Notice of Commencement.
Rev.8/2/17
Sign�ure of Ow r Lessee/Contra or as Agent for Owner
Signature of Contractor/Llcense.Holder
STATE OF FLOF�pA
J't',
STATE OF FLORIDA B q,�s-OFORJD
COUNTY OF '
COUNTY(
1
The forgoing instrument was a'ckn"owl�edge� before me
this L day of �C`� 20 by
The fo�oing instrument was acknowledged before me
this .1_I day of o1 AIJaRR� 2020 by
NAMES a�L9yEIP '
Name of person making statement
Name of persgn making s atemenf'
Personally Known �� OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification -_
Produced
Produced
(Signs ire ota Public-S
t o F r' a
(Signature of Not StA15 of Florida )
.,oiipr>oe:. J�$$AMINE JOY CASTRO
:_/•`;�k? (b� Public - Stateotrtoriea
Commission No.
s
Commissi ewF- d1NRIAR.BURGIN (Seal)
CammissioneGG3aap7}
.. Comrnlsslon#GG382849
............. My Comm. Expires Jur ••. ;,;
+"�• �of E>rpheSAUgUSt 25, 2023
Bonded through Nations: Notar.:.;
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS VEGETATION
MANGROVE
SEA TURTLE
COUNTER
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED