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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8-20-20 Permit Number: 2,0K (YI 1'Q
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential x
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR: Enclosed accessory building
PROPOSED IMPROVEMENT LOCATION: 5500 Cassia Drive
Address: 5500 Cassia Drive '
Property Tax ID#: 3402-610-0070-000-7 Lot No.12-13
Site Plan Name: 22x40 Block No.
Project Name: 22x40
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DETAILED DESCRIPTION OF WORK:
22x40 enclosed accessory building (no plumbing,electrical, or driveway) VN
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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: 902 Sq. Ft. of First Floor: 902
Cost of Construction:$ 9240.00 Utilities: —Sewer _Septic Building Height: 12'
OWNER/LESSEE: CONTRACTOR:
Name Doug Brown Name:Michael Johnson
Address:5500 Cassia Drive ' Company:Carolina Carports inc.
City: Fort Pierce State:_ Address:187 Cardinal Ridge Tr
Zip Code: 34982 Fax: City: Dobson State:NC
Phone No.561-436-7704 Zip Code: 27017 Fax:
E-Mail:Dbrown2068@gmail.c6m Phone No 800-670-4262
Fill in fee simple Title Holder on next page(if different E-Mail ccinc@carolinacarportsinc.com
from the Owner listed above) State or County License CBC1254822
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or morn,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL=;CON STRU.CTION;LIEN aAW INFORIVIATI4N
DESIGNER/ENGINEER:; +Not Applicable MORTGAGE COMPANY: x Not Applicable
Name:sechlol engineering and testing Inc Name:
Address:605 west Now York Ave Address:
City: oeWnd State: FL City: —State-
Zip: 32720 Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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, I '�
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 paying twice for
improvements to your property:A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection.If you intend to obtain financing, consult
with lender or an attornev before commencing work or recording our Notice of Commencement.
gnature of ner/Les ontractor as ge t for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF PLO �0�-4h C00-01�YID-
COUNTY OF /�1m'-*w COUNTY OF t �-
Sworn to(or affirmed)and subscribed before me of Sw�:orn to(or affirmed)and subscribed before me of
Physical Prese a or Online Notarization _Physical Pres nce or Online Notarization
this 2LRday of 2020 by this day of 2020 by
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Name of-person making statement. Name of person making statement.
Personally Known Xr OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Prouced
Produced � ,,({
�(J4d24 Her 3fttith `
(Signature of Notarqypl1c-S% }0RA (Signature of Notary Public-tWOMMISSOR4ires
te of F
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Commission No. res/►pfit'25; Commission No.
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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