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HomeMy WebLinkAboutT Terefenler Bldg AppALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: RUNTY L O R-1 D ABuilding 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: 5480 Slash Pine Trail Fort Pierce, FL 34951 Legal Description: 7 34 40 N 1/2 OF NW 1/4 OF SW 1/4 OF NE 1/4 OF SW 1/4 -LESS W 60 FT- (1.04 AC) Property Tax ID #: 1407-313-0015-000-1 Site Plan Name: T Trefelner Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: install 30x35x12 enclosed steel building on new concrete no plumbing, no electric, no driveway Lot No. Block No. CONSTRUCTION INFORMATION: Additional work toe e orme under this permit — check a appy: HVAC 11 Gas Tank OGas Piping _ Shutters ❑ Windows/Doors 11Electric ElPlumbingSprinklers ❑ Generator ❑ Roof 3:12 Roof pitch Total Sq. Ft of Construction: 1050 Cost of Construction: $ 13328 S�Ft.j of First Floor: 1050 Utilities:'nSewer W1Septic Building Height: 12 OWNER/LESSEE: CONTRACTOR: Name Tristen Trefelner Name: James Player Address: 5480 Slash Pine Trail Company: Carports Anywhere City: Fort Pierce State:FIL Zip Code: 34951 Fax: 3524681113 Phone No. 3524681116 Address: PO BOX 776 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 52500 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: J 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 :ommenclnR worK or recoruln Ur IVULIC.0 VI Signature of Owner/ Lessee/Contractor as Agent for Owner SignatNkre of Contractor/License Holder STATE OF FLORIDAII STATE O FLORIDA COUNTY OF 7l t' -L -".C_' C COUNTY _ The forgoi g instrument was acknowledged before me this ay of C 1 20_a Oby Name of person making statement / Personally Known OR Produced Identification t/ Type of Identification 1 Produced '✓ — The for�oi g inst ment w�s acknowle ed before me this tlay of ' OZO by f Y., ,, sir' • . i E ; /' , ✓: t... Name of person g statement Personally Known Produced Identification Type of identification— Produced (Signature of Notary ublic- State of Florida) (Signature Notar�ric- e of FI Commission No. (, h )_ t.7:7 -), j (seal) REVI6 V$' p Ff "'�lffiql�b � I SUPERVISOR CC SueC �siWRW REVIEW DATE S RECEI DATE COMPLETED Rev. 8/2/17 Commlasion No. V L Z 7-7 (Sea M GROVE PLANS V NCo� 2e»z VIEW REVIEW Etj(I Mr �it'E�E ---------- 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: PO BOX 778 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 thepermit 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. Rev. 8/2/17 Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OFR<} The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of 20 by this L©day of t"All , 20!20 by J,41NA=S I 1:DL4gE(� Name of person making statement Name of per n making statement Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of NY. - SLate of orida ) (Signature of Notary Public- State of Florida) Commission No. (Seal) s>,,....,. h" Commission No —mission # • " "°<<� -., MARIA R. BUR=2023 E'xpires August Bonded Thru Troy F REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17