HomeMy WebLinkAboutHibicus 081320 Signed permitAll APPLICABLE INFO MUST BE COMPLETER FOR APPLICATION TO BE ACCEPTED
Date
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:SHED
Permit Number:
Building Permit Application
PROPOSED IMPROVEMENT LOCATION:
Address: 3$70 N. A 1 FT PIERCE FL 34949
Property Tax ID #: 1423-800-0000-000-3
Site Plan Name:
Project Name: SHED 2019
DETAILED DESCRIPTION OF WORK:
Commercial X Residential
INSTALL ONE NEW PRE -FABRICATED STORAGE SHED
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit –check all that apply:
_Mechanical — Gas Tank _ Gas Piping
Electric _ Plumbing
Total Sq. Ft of Construction: 300 SOFT
Cost of Construction: $ 9°515.00
_ Sprinklers
Lot No. NIA
Block No. NIA
Shutters _ Windows/Doors
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Hibiscus -By- e- ea Gondo Assoc. Inc
-
Name: On H. Jackson
Address: 1111 SE-Fe-eraSE-Fe-deral HWY Ste 100
company: eapointe Builders
p Y�
City: S State:
Zip Code: 3407 Fax: NA
Phone No-4
Address: 117 Queen Ann CT
City: FP State: FL
INqTA—
Zip Code: Fax:
Phone No - - 1
E -Mail: N
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail seapointe UI erS coi'1'lcast.net
State or County License
.. VU %A= VI 1 %.PIML1 Yl.-LIVII 1a ylcauu or more, a KrLUKVtLJ Ivouce of commencement Is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
Not Applicable
Name:
Address:
City: Skate:
Zip: Phone i-
FEE SIMPLE TITLE HOLDER:of Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City. State:
Zip: Phone:
BONDING COMPANY: t Applicable
Name:
Address:
City:.
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 grapting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Horne 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 arp exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fence;, 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 re rdin our Notice of Commencement.
re of
STATE OF
COUNTY 1
as Agent for Owner I 5kriliture of
The forgoing instru ent was acknowledged before me
this Z�ay of ,r\�sj ,y
rJ C C c S rte,
(Name of person acknowledging)
Holder
STATE OF COUNTY/RIQA
The for oing instr t was acknowledged before me
this day of JW V-� 20 by
(Name of person acknowledging)
RSP
(5ignature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known OR Produced Idgntification 1` Personally Known
Type pf Identification Type of Identificai
Prodtliced t � -✓ 1 C9 vt(�Q� Produced ]
Commission No.
REVIEWS FRC
COU
DATE
RECEIVED
DATE
COMPLETED
'. ADRIANA RAYA
Notary Public - State of Florida
ZO N INdoR1 m'
Commission No.
PLANS VEGETATION
RE\(IEW REVIEW
OR Produced identification
ADRIANA RAYA
Nota$mlik - State of Florida
Commission # GG 464625
My Comm. Expires Nov 7, 2023
SEATURTLE IMANGROVE
REVIEW REVIEW