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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1I,�.�
Date: 12/5/2019 Permit Number: t a -o •rj
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Building Permit Application pest"t,, 51o/y
Planning
uilding and Code Regulation Division [uc0.00
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2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMITTYPE: pole barn
PROPOSED IMPROVEMENT LOCATION:
Address: 2260 Rock Rd
Property Tax ID #: 2323-501-0004-000-4
Lot No.
Site Plan Name: Block No.
Project Name: Cuellar pole barn
DETAILED DESCRIPTION OF WORK:
construct a 40 x 50 open pole barn
CONSTRUCTION INFORMATION:
of
Additional work to be performed under this permit —check all that apply:
Mechanical
Electric
_ Gas Tank
—Plumbing
Total Sq. Ft of Construction: 2000
Cost of Construction: $ 9000
Gas Piping
_ Sprinklers
_Shutters Windows/Doors
Generator Roof 4'12 Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:21'
OWNER/LESSEE:
CONTRACTOR:
Name Mauual Cuellar
Name: James Trefelner
Address:2402 Holiday Ct
Company:Trefelner Construction Inc
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No.
Address:1760 Copenhaver Rd
City: Fort Pierce State: FI
Zip Code: 34945 Fax:
Phone No772-201-9833
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail trefelnerj@bellsouth.net
State or County License 28600
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Nicholas Paul Geisler
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 1756 NW Brown Rd
Address:
City: Lake City State: FI
Zip: 32055 Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
A
Signature OFwner/ Lessee/CKtractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing ins rument was acknowledged before me
this 6 day of� _ 20-6 by
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Name ct person making statem
Personally Known OR Produced Identification
Type of Identification
Pro Iced
tgyattXre of Notary Public- S&he of Florida) �—
Commission No.
REVIEWS
IHa\I:1
W COMMISSION # GO 275M
STATE OF FLORIDA
COUNTY OF
The forgoing ins ment was acknowledged before me
this day of�� 20L by
Name of erson making star vent.
Personally Known OR Produced Identification
Type of Identification
fsignature of NotaaFublic- to of Florida )
Commission No.
COUNTER I REVIEW REVIEW R I REVIEW I VEGffgrulillEV EW I REVI