HomeMy WebLinkAboutM Garica Bldg AppALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
0 No
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
PERMIT APPLICATION FOR: Other
PROPOSED IMPROVEMENT LOCATION:
Address: 5213 Buchanan DR Fort Pierce, FL 34982
Legal Description: INDIAN RIVER ESTATES -UNIT 1- BLK1 LOTS 33 AND 34 (MAP 34/02S) (OR 2937-1181; 3111-2594:3130-1366)
Property Tax ID #: 3402-602-0033-000-1
Site Plan Name: Michelle Garcia
Project Name: Michelle Garcia
Setbacks Front Back: _
DETAILED DESCRIPTION OF WC
Right Side:
Install 30x30x12 partially open building on ground
no plumbing, no electric, no driveway
1:1 HVAC u Gas Tank
❑ Electric ❑ Plumbing
Total Sq. Ft of Construction: 900
Cost of Construction: $ 5647
Left Side:
UGas Piping LJ Shutters
Sprinklers Generator
SFt. of First Floor: _
Utilities:n Sewer []Septic
Lot No. 33 & 34
Block No. 1
Windows/Doors
Roof Roof pitch
Building Height: 12
OWNER/LESSEE:
CONTRACTOR:
Name Michelle Garcia
Name: James Player
Address: 5213 Buchanan DR
Company: Carports Anywhere
City: Fort Pierce State: FIL
Zip Code: 34982 Fax. 352-468-1113
Phone No. 352-468-1116
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 requirea.
SUPPLEMENTAL CONSTRUCTION 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 TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address: PO BOX 776
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 our Notice of Commencement.
k6A R1 Aq APO,
Signa ure of Owner/ Lessee/contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
STATE OF FLORIDA 8R,40 FDR 0
COUNTY OF
The for�ing instrument was acknowledged before me
this day of Qd, 20 961 by
The forgoing instrument was acknowledged before me
this z qday of n'��%,pY 2020 by
�� hp I I �c u,
JAMES /"LAYER
Name of person making statement
Personally Known OR Produced Identification ✓
Type of Identification
Produced R o r, d & Q
Name of person making statement
Personally Known ;— OR Produced Identification
Type of Identification
Produced
(Signature of tart' Public- State of Florida)
�aR� Pie KARY LEE MATTIS
a� : •• . �%
Commissio�N .Db y� u �' . epyYCOMM tON#GG
1A cr EXPIRES: March 6, 2021
9rFor FI.OQ Bonded Thru Budget NoI
(Signature of Notar Pub,StaMt� �U
:•
,: :Commission # G 362 9
ommission No. `� iresAugust My
..F crF f<<"`
.,.. Bonded Thru Troy Fain Insurance 800.385.1019
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17