HomeMy WebLinkAboutS Platt 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: 220 Emerald Ave Fort Pierce, FL 34945
Legal Description: WEST FORT PIERCE ESTATES -UNRECORDED PLAT IN SEC 9-35-39-LOT 5 (0.96 AC) (OR 746-1880)
Property Tax ID #: 2309-801-0005-000-8
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
install 30x40x12 enclosed steel building on new concrete
no plumbing, no electric, no driveway
Lot No. 11
Block No. 18
CONSTRUCTION INFORMATION:
Additional work to be pertormed under this permit— check all apply:
E1HVAC L J Gas Tank Gas Piping _ Shutters a Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof 3 12 Roof pitch
Total Sq. Ft of Construction: 1200
Cost of Construction: $ 14544
Sq. Ft. of First Floor: _
Utilities:Sewer Septic
Building Height: 12
OWNER/LESSEE:
CONTRACTOR:
Name Gale S Ivey
Name: James Player
Address: 220 Emerald Ave
Company: Carports Anywhere
Address: f
City: Fort Pierce State: FL
Zip Code: 34945 Fax: 352-468-1113
Phone No. 352-468-1116
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
It value of construction is 52500 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:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address: f
City:
Address:
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 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/ContrUtor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLOR DA
STATE OF FLORID
COUNTY OF bt. LiAs:�
COUNTY OF - a...
The forgoing instrument was acknowledged before me
The forgoing instrume t was acknowledged before me
this day of , ''1 20 by
this �1 i?ay of 3L-t 20 Zo by
l�
f
Name of person making statement
Name of person making statement
Personally Knowny/ OR Produced Identification
Personally Known �_--- OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of lorida)
(Sig ture of Not y
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Commission No. dove , �,
�d%Y Notary Public State of Florida
On No. Carolyn Shave 9C ,n-Pignone
:fit M. LAURA R. CUBSED
,; ;�: COfnRUssion # GG 02
E i .� c_ y Commission Gt3 332348
076 ''k� �o� Expires 05/22/2023
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800-385.7019 ,
REVIEWS
FRONT
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VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
tev. 8/2/17