HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED d �11
Date: �d1`� Permit Number: V 1 � � "d -1 1 a
r 5 RECEIVED
Building Permit Applicat'Orl NOV 2 0 2 T9
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: Q ib � fN L aa�, �,5� I
Address: 11298 MULLER ROAD
Property Tax ID #: 2333-133-0001-000-5
Site Plan Name:
Project Name: PERCY POLE BARN
Lot No:' I
Block No.
AFTER THE FACT PERMIT FOR POLE -BARN.
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
Total Sq. Ft of Construction: 1200.00 Sq. Ft. of First Floor: 1200.00
Cost of Construction: $ 7,500.00 q6 �3(0�'��l Utilities: —Sewer _Septic Building Height. 14'
Name REBECCA PERCY
Address: 11298 MULLER ROAD
City: FT PIERCE State:
Zip Code: 34945 Fax:
Phone No. 772-579-3845
E-Mail: BECCA@INTEGCRETE.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: HOME OWNER BUILDER - REBECCA PERCY
Pitch
Company:
Address: 11298 MULLER ROAD
City: FT PIERCE State: FL
Zip Code: 34945 Fax:
Phone No 772-579-3845
E-Mail BECCA@INTEGCRETE.COM
State or County License
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.
kStiPPL` MENTAL CQN�T t1CTION' a uua l ?RMAT�f}N
i, a .b; •;. ` x ,.` .. ' S+ _, kr' 4 ✓ ` -t �T ,¢., .� ,.x^_ .,,k�ttn4,'f ¢.'mod RG �Ki: $..'
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: MICHAEL SEAL
Name:
Address: 606 DELAWARE Ave
Address:
City: State:
City: FT PIERCE State: FL
Zip: 34950 Phone 772-460-7751
Zip: Phone:
FEE SIMPLE TITLE HOLDER: 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 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."
(Z�kuL�>,
Signature of Owner/ Lesste/CVntractor as Agent for Owner
Signature of Contract r/Lic rise Holder
STATE OF FLORIDA
COUNTY OF 57r L -c4 L%
STATE OF FLORIDA
COUNTY OF ST L id
The foMLng instrument was acknowledged before me
thisd0 dayof i�euZ•/nri�n%� 20 by
The forgoing instrument was acknowledged before me
this.16�day of Wool.,-niaj-,r 20 by
Name of person making statement.
Name of person making stat ment.
Personally Known °I— OR Produced Identification
Personally Known 4: OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced /1 c.
((Si at re of Notary Public tate o Sri � "-- WCOMMISSION#
009 9
`= EXPIRES:Octohe
�p��o6 "' P•
i ion NoL� -'%fp, �9�ondedThruNotaryPW
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(Signature of Notary Public- at
Commission No.G�49��4
f, ', Q,) DEBORAHS.VE
MY COMMISSION # G
i�:l EXPIRES:Oc�ober4
--•,; P,� �: °r•'' Bonded Thor Notary PWft U
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19
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