HomeMy WebLinkAboutR Doty Building ApplicationALL 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 ComiTiercial PR esidential x
PERMIT APPLICATION FOR: other
PROPOSED IMPROVEMENT LOCATION:
Address: OR Fort Pierce, FL 34982
Legal Description:
INDIAN RIVER ESTATES-UN IT-OS- BLK 57 LOTS 10 AND 11 (0.46 AC - 20,000 SF) (MAP 34/11N) (OR 3750-584)
PropertvTax ID#: 3402-609-0188-000-3 Lot No. 10 & "I"I
Site Plan Name: ^ Block No.
Project Name: ^ PoV
Setbacks Front Back: Right Side: Leftside:Setbacks Front Leftside:
DETAILED DESCRIPTION OF WORK:n■J
install 30x40x14 enclosed steel building w/ 2 10x40x11 lean to on new concrete
no plumbing, no electric, no driveway
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check a
^ FIVAC U Gas Tank Gas Piping
^ Electric □ Plumb ng I Isorinklers
Total Sq. Ft of Construction: Sc
Cost of Construction: $ Utilities:
ii\«vi\ d
-W W
ii LI I a apply:
; LJ Shutters [ Windows/Doors
□ Generator I I Roof I I
So. Ft. of First Floor:
ilities: I | Sewer I j Septic Building Fleight:
I Generator
if A
Roof pitch
OWNER/LESSEE:
Name Robert D Doty Diane M Doty
Address: Birch Drive
City; Fort Pierce State:'
Zip Code: ^^982 Fax: 3524681113
Phone No. 3524681116
E-Mail: jt'P®'''^itsfl@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name: James Player
Company: Carports Anywhere
Address: PO BOX 776
City: Starke
Zip Code: 32091 Fax:_^
Phone No. 3524681116
Fax: 352
E-Mail: jbpermitsfl@gmail.com
State or County License: CBC1251995
4681113
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:
Citv: State:Citv: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address: po box/ts Address:
Citv:Citv:
Zio: 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
commencing work or recording your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLOmpA , , . ^
COUNTY 0F<^.
The fo,
this
acknowledge before me
: , 20^ by
Name of persop-fhattingstaternent
Iv l^nnu/n V OR PrnHtirpH iHtOR Produced IdePersonally Known
Type of Identification
Produced
ntification
(Signature of Notary
Notary Florida
Commission
06/20/2021
Commission No
V5v
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF e>J^O
The fori
this I
instrument was acknowledged before me
day of l/^ 20^0 by
Name of person making statement
Personally Known ih OR Produced Identification.
Type of Identification
Produced
(Signature of Notary Public-State of Florida^
Comn
. MARIA R.BURGINisSoANd; CommioiilonffGG 362849
Expires August 25,2023
f/."'' Bonded Thru Troy Fain insurance 80I)-3S5-7019 I
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17