HomeMy WebLinkAboutKenneth wurtenberg Bldg appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
s
Building. Permit Application
Planning dnd'DevelopmentServices X
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Accessory Building
PROPOSED IMPROVEMENT LOCATION:
Address: 6603 S INDIAN RIVER DR Fort Pierce, FL 34982
Property Tax ID #; 3412-141-0002-000-2 Lot No.
Site Plan Name: Kennith Wurtenber Block No.
Project Name: Kennith Wurtenber
DETAILED DESCRIPTION rOF WORK:
install 30x40x12 enclosed metal building on new concrete, no plumbing n y
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit –check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing — Sprinklers — Generator _ Roof Pitch
Total.Sq. Ft of Construction: Sq. Ft. of First Floor: 1200
Cost of Construction: $ 1. 00 Utilities: —Sewer Xseptic Building Height: 12
OWNER/LESSEE: Q CONTRACTOR:
Name K ' ,�` me:, James Player
Address: 6603 S IN IAN RIVER DR Company: C'a[pnrts An nmhPrR
City: Fort Pierce State: fLo Address:
Zip Code: 34982 Fax:3524681113 City: starke State: fl
Phone No. 352-468-1116 Zip Code: 32091 Fax: 3524681113
E-mail:_permittingO)carportsanywhere.com. Phone No 35 -468-1116
Fill in fee simple Title Holder on next page (if different E -Mail Dermittinana car ortsa ywhere.com
from the Owner listed above) State or County License RC 1 ?51995
If value of construction is 2500 or more, a. RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: Matthew T Baldwin
_
Name:
Address: 1160 Private Road
Address:
City: Deland State: F L
City: State:
Zip: 32720 Phone 3524681116
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
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 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, wails, 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie Co y and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
wit 1 er o an attorney bef mmencin work or recordingour Notice of Commencement.
ev. 5/6/20
7
Signature of Contractor/License Holder
ur of Owner/ Lessee Con r or as Agent for Owner
� �
rTATtE
OF FLORIDA
�l ��
STATE OF FLORIDA F Rq-D1=oR�p
COUNTY OF �a v,��
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Srn to (or affirmed) and subscribed before me of
Phy�ssical Presence or Online Notarization
- Physical Presence or Online Notarization
this 2fbay of 1-L re 20 7-o by
this 24day of U-WLy 20 Z by
J.4NES
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State
ture of No
WALTER VEL
MARIA R. BURGIN
Commission No.� (02-513 111 #GG 059319
Ja ;
fission No. :.: Commission#GG�Expires
January 3,2021
_ o:= xplresAugust 25, 023RwAadTMu
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Troy Fein NreuranO
�'.`•°µ' Bonded Thru Troy Fain Insurance 800-385-7019
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20