HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST e"3MPCETED FOR APPLICATION TO BE.ACI7 „ii'ED
Date: Iz aao Permit Number: ' LJICOO
— � . RECEIVED
Building Permit Application JARECEN-08 2020
Planning and DevelopmentServices
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE:.. RM550T!k 'Wc�r -GA PR3V_,
PROPOSED -IMPROVEMENT LOCATION:
Address: 17800
PropertyTaxlD#: �L
Site Plan Name:
Project Name: Dave Bell
Lane Ft. Pierce, FL 34987"
LAETAILED DESCRIPTION OF WORK:
install 24x25x10 enclosed steel building on srete o r1 c(1-0,%4 n 0(
" No Plumbing, No Electric, No Driveway"
CONSTRUCTION
Lot No. ._
Block No.
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank ? _Gas Piping _Shutters— _Windows/Doors
_ Electric _ Plumbbing _ Sprinklers _ Generator _ Roof. it Pitch. .
Total Sq. Ft of Construction: 600 Sq. Ft. of First Floor: 600
Co sfofConstruction $ 8537.00 Utilities:- _Sewer _Septic' Building Height: 10
OWNER/LESSEE`.. "
CONTRACTOR:
Name Dave Bell>---y -
Name: iames Player
Address:17800 Wagonwheel Lane
Company:Carports Anywhere - ;
Address: PO,BOX•7,.76.1u'--
City: Ft Pierce State: _
Zip Code:987 Fax:352-468 1113
Phone No. 352-468-1116
City: Starke,.,++\Min'tiAA� t P:\ A]Ia State: FL
11' 32091i r =+ �cr,•r-3 "`35268 1113
Zip Code
Phone N0352-468-11 ...
E-Mail:jbpermitsfl@gmaii.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-MailJbpermitsfl@gmail.com
State or County License CB,C1251995
it vame or construction is 525ou 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. Y
I
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 TITLEHOLDER: _ 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.
1 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
WMt-YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
ignature of Owner/ Lessee/
ntractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLgrl.Cie
STATE OF FLORIDA �R��FoRL7
COUNTY OF U (
The fprg@ing inst waif
this ay of
acknowledgebefore me
20 by
The fo going instrurpent was acknowledged before me
this of -1RIJ(J4Ry 20ZO by
ARD
YJ{{day
A"ES Pc 4S�E�
Name of person making statement.
Name of person making statement.
Personally Known L,� OR
Produced Identification
Personally Known
Type of Identifi tin
Type of Identification vm "'° IAARIAR. BURGIN
Pro uc ��{
- /� % 0
Produced Commission#GG362849 ,
ro; p res AU9Us125, ZU' J
Bonded Tlw tmp Fain Insurance 800385-71
(Sign a of No
(Signature of Notary Public -State of Florida )
ia�",'r'+"rk",�.,,_
61F1AN�D.W6.LNG16
Commission No.
': ��
C06gN3�8g11�OrEe62
Commission No. (Seal)
;os'
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
IEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
I
DATE
COMPLETED
Rev.2/7/19 I It !