HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Q— k \ 2Q M Permit Number: "1 �
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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: Charlie Proulx
PROPOSED IMPROVEMENT LOCATION:
Address: 10009 S Indian River Dr
Property Tax ID #: 3529-231-0006-000-5 Lot No. 29/30
Site Plan Name: Block No. 36 41
Project Name: Metal Garage
DETAILED DESCRIPTION OF WORK:
20' x 40' pre-fab metal garage. Garage placement will be 10' off the Northern side of property setback approximately
250' from front (east) of property. Concrete floor to be installed. q/I —fG.l c 5(nb U FI_(,er MSSG.
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New Electrical Meter Second Electrical MeterX
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank — Gas Piping _ Shutters ❑� Windows/Doors _ Pond
Olectric _ Plumbing — Sprinklers _ Generator ZRoof 3:12 Pitch
Total Sq. Ft of Construction: 800 Sq. Ft. of First Floor: 800
Cost of Construction: $ 25,000 Utilities: _ Sewer _ Septic Building Height: 12'
OWNER/LESSEE;
CONTRACTOR:
Name Charlie Proulx
Name: Homeowner/Builder
Address:10009 S Indian River Dr
Company:
City: FL State: FL
Address:
Zip Code: 34982 Fax:
City: State:
Phone No. 772-708-9188
Zip Code: Fax:
E-Mail: chariieproulx@aol.com
Phone No
Fill in fee simple Title Holder on next page ( if different
E-Mail
from the Owner listed above)
State or County License
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: X Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: 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,
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 Countv and posted on the iobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencingwork or recordingour Notice of Commencement.
N'. " L _ZrLe, � Xx
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this cl day of i.2020 by
o.n �)a LAk
Name of person making statement.
Personally Known OR Produced Identification
Type of Identifications
Produced 1��
(Signatu&zf Notary Public- State of
oe
Commission No.6E27
REVIEWS I FRONT I ZONING
COUNTER REVIEW
RECEIVED
'are of Florio
Comrnlsslofi
MY CWhmrti
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of . 2020 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
Pub
Notary Public- State of Florida )
(Seal)
SUPERVISREVIIEWOR I REVIEW PLANS I VREV EWON I SEATURTEV EWLE I M EV EWVE