HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number.�CJC)�'��� 1
Building Permit Application RECENED
Planning and Development Services )AN" 0 8 1010
Building and Lode Regulation Division De artment
St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982 per P
Phone: (772) 462-15S3 Fax: (772) 462-1578 Commercial Residential x sc.
PERMITTYPE:
PROPOSED IMPROVEMENTLOCATION:
Address: 422 DUSK WAY Fort Pierce, FL 34945
Property Tax ID #: 2308-601-0131-000-3
Site Plan Name:
Project Name: Smith 30x45x14
DETAILED DESCRIPTION OF WORK:
install 30x45x14 enclosed building on new concrete
•' No Plumbing, No Electric, No Driveway"
CONSTRUCTION INFORMATION:
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: 1350 Sq. Ft. of First Floor: 1350
Cost of Construction: $ 21271.50 Utilities:_Sewer�5eptic
Lot No.72 & 73
Block No.
Windows/Doors
Roof Pitch
Building Height: 14
OWNER/LESSEE: `n
CONTRACTOR:
Name Wayne Smith
Name: James Player
Address:422 Dusk WAY
Company: Carports Anywhere
City: Fort Pierce State: _
Zip Code: 34945 Fax:352468-1113
Phone No'352-468-1113
Address: PO BOX 776
City: Starke State: FL
Zip Code: 32091 Fax: 352468-1113
Phone No352-468-1116
E-Mail:jbpermitsfl@gmail.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 CBC1 251995
IT vaiue or construction is yZbuu 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.
SLIPPLEMENTAL�CONSTRLICTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDERORAN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signat of Owner Lam% ontractor as Agent for Owner
Signature of ntractor/License Holder
STATE OF FLORIDA
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STATE OF FLORIDA
BfQ�eFoiQo
COUNTY OF & . k )JIAC
COUNTY OF
The forging instrr m�ent was acknowledge efore me
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The forgoing instrument was acknowledged before me
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this�dayof •20— by
this dayof 207.0 by
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Name of persah making statement.
Name of person making statement.
Personally Known \/ OR Produced Identification
Personally Known —*— OR Produced Identification
Type of Identification
Produced
Type of Identification
Produced
(Signature of Notary -RA
(Signature of -6ida )
{ ,p w':. HEATHER HARDEN
Commission No. 4eA� 0nnM1ss(Sga+I GG 2
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Commission N
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%:`„^; August 26, 2020
.g. sn'416llwhuY Fein lnsmence BOP385.7059
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
1UIZ�
DATE
COMPLETED
Nev. 2/7/19