HomeMy WebLinkAboutBuilding Permit ApplicationAILAPPLICABLE INFO MUST BE COMPLETED F PPLICATION TO BE ACCEPTED
Date: Permit Number: !a d V Ot
S
Building Permit
Planning and Development5ervices
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
catio MAY 14 2020
ST. Lucie County, Pern
Residential x
PERMITTYPE: Pole Bam
PROPOSED IMPROVEMENTLOCATION. `• :�''c
Address: 2809 S. Brocksmith Road Fort Pierce, Florida 34945
Property Tax ID #: 2320-501-0042-010-6 Lot No.11
Site Plan Name: Subdivision of McNuden Farms Block No. 3E
Project Name: Sexton- Pole Bam
DETAILED DESCRIPTION OF WORK:
30x36x12 Pole Bam (to be built in yard) /A I n ovi 111, '� no
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof 3:12 Pitch
Total Sq. Ft of Construction: 1080sq fL Sq. Ft. of First Floor: NA
Cost of Construction: $ $4766.03 Utilities: _Sewer _Septic Building Height: 12 5IQF$
OWNER/LESSEE:',.
CONTRACTOR:
NameBrian Sexton
Name -Brian Sexton
Address: 2809 S. Brocksmith Rd.
Company:Owner
City: Fort Pierce State: _
Zip Code: 34945 Fax:NA
Phone No.772-070-3668
Address-2809 S. Brocksmith Rd.
City: Fort Pierce State: Fl_
Zip Code: 34945 Fax: NA
Phone No772370-3668
E-Mail:firemediC0369@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail firemedic0369@gmaii.com
State or County License NA
If value of construction is=00 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7500 or more, a RECORDED Notice of Commencement is required.
5UPPLEMENTALCONSTRUCTION 116v 4W INFORMATION
DESIGNER/ENGINEER:� /
Name: (a2.6C9- /t uaf
_ Not Applicable
P. L •
MORTGAGE COMPANY. _Not Applicable
Name:m 94
Address: f yr rAl. & S li-t-
A/ . Co"
Address:
City: State:
Zip: Phone -727 - NQ 2- S-9—&O
City: State:_
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:- ��
of Applicable
BONDING CO ANY: _Not Applicable
Name:m ;L/
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 Counttyy 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 antl 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
WWARNING 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 OBFAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMFN[FMFNT ^
� `Thr X n wn1 CQ
f / mvrJrc.A.
Signaturf of er/Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
e
STATE OF FLORIDA
e
COUNTYOF �{` I L cC
COUNTY OF !�3+ LUG
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
�yY
this day of r'nt .202_b by
this 2a day of—arrit 20_7Qby
•Byrom sex6c)
pr'i Qn Sx, opn
Name of person making statement.
Name of person making statement.
OR
Personally Known 1//OR Produced Identification _
Personally Known Produced Identification
Type of Identification
Type of Identification
Produced
Produced
,
• LYMACHADD
•�I`"Sig, KELL
A"
(Signature of otaryPuq'lit;s of OomCQ6;1oa
I(Signe off tary Public -State of Florida I3
2020Expires September 15,
;al Elplr
Commission No.;;t' Bond(ge84)Troy Fain lniu;arce 800QQl�lk-
(Seon No.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
q GG 00443E
emberl5.":