HomeMy WebLinkAboutT Giaccone Bldg AppALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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: ^^17 Cassia Drive Fort Pierce FL 34952
Legal Description: INDIAN RIVER ESTATES-UNIT 09- BLK 73 S 1/2 OF LOT 23 AND ALL LOT 24 (MAP 34/11N)
Property Tax ID #: 3402-610-0107-000-6
Site Plan Name:
Lot No. 23
Block No.
Project Name: Giaccone
Setbacks Front Back:Right Side:Left Side:
DETAILED DESCRIPTION OF WORK:
install 30x60x12 enclosed steel building on new concrete (customer pulling permit for concrete)
no plumbing, no electric, no driveway
CONSTRUCTION INFORMATION:
I
"7^ditional work to be perform^ under
HVAC I I Gas Tank
Electric □ ng
Total Sq. Ft of Construction:
Cost of Construction: $
his permit - check all that apply:
Gas Piping I I Shutters
Sprinklers □ Generator
So. Ft. of First Floor: ^
Utilities: Sewer Septic
Windows/Doors
Roof 3:12 Roof pitch
Building Height:.
OWNER/LESSEE:CONTRACTOR:
Name Anthony F Giaccone Name: James Player
Company: Carports Anywhere
Citv: PortSTLucie State:Address: P*^ BOX 776
Zio Code: 34986 p3x;3524681116 Starke State:
Phone No. 3524681113 Zio Code: 32091 Fax: 3524681113
£-Mail: jbpermitsfl@gmail.com Phone No. 3524681116
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 $2500 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:Citv: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address: po box 776 Address:
Citv:Citv:
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 ruies, 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
commencjpg worker recording your Notice of Commencement.
Signatiiffe of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORpjA ,
COUNTY OF br-UACi/y
The forgoing instrument was acknowledged before me
this yh day of 1 , 2Q%> by
Name of-person making statement
Personally Known OR Produced Identification \/
Type of identification
Produced r L-
iignpture of Notary
Commission No.
Commission | GG 194104''•■■togfyof'--'' My Commle^ftys Jun 29,2022Bonded through National Notary Assn.
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of tvl/AV , 2(T2Q by
vjAM£g.
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Pubiic- State or Florida '
Commissic i MARIAR.BURGIN (Sgal)Ul '.4; Commission #GG 362849
Expires August 25,2023••■Bl.r.V.y Bonded Thru Troy Fain Insuranco ai)0-Sa.i;-7nio
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW .
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17