HomeMy WebLinkAboutJ Horton Bldg AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
'iCOUNTY
Permit A
Building pplication
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Residential
Phone: (772)462-1553 Fax: (772) 462-1578Commer��al
PERMIT TYPE:
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Address. 5000 SOUTH
WIND TRL FT PIERCE FL 34951
Property Tax ID #.
1418-123-0030-000-3 Lot No.
Site Plan Narne. JERALD OR SARAH NORTON Block No.
-
Project Name: JERALD OR SARAH HORTON
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30X55X12 ENCLOSED •sSTEEL BUILDING ON NEW CONCRETE
No Plumbing, No Electric, No Driveway"
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Additional work to be performed under this permit – check all that apply:
Mechanical G
as Tank Gas Piping _ Shutters Windows/Doors
�
Electric Plumbing —
Sprinklers — Generator Roof Pitch
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Total Sq. Ft of Construction: 1550 Sq. Ft. of First Floor:
Cost of Construction. $
16481.80 Utilities: � Sewer r, Septic Building Height:
7C.
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Name
JERALD OR SARAH HORTON Name: James Player
Address: 5000 SUVTHVv1
ND TRL Company: Carports Anywhere
• ST PIERCE State: � Address: PQ Bax 776
City:
52-468-1113 . ke State:.
3
Zip Code: 34951 Fax: City. Star
32091 Fax: 352-468-1113
Phone No. 352-468-1116 Zip Code:
• ermittin car ortsan here.com Phone No 352-48"111
E -Mail: P 9� P Yw ,
• if different E-Maillbpermitsfl@gr�taii.corn
Felt in fee simple Title Holder on next page i
State or County UcenseCBC1251995
from the owner listed above)
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.
DESIGN
Name:_
Address:
City:
Zip:
NGINEER- Not Applicable MORTGAGE COMPANY: , Not Applicable
Name:
Arldress-
Phone
State
FEE SIMPLE TITLE HOLDER: r Not Applicable
Name:
Address:
City:
Zip: Phone:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City -
Zip: Phone:
Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the wont ana insianauon at, niun.a—V
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 Assoclatlon 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
PO; D ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
w OUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
N
ofOwner/ Lessee/Contractor as Agent for Owner Signature of Contra or/License Holder
i ATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 7bA COUNTY OF 13 A -D F oR D
The or oing instjj�e t was acknowledg d before me
this day of �JC�t t c , 20a by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Pr-- -- C.
(Signature of Notary)� — —"'
Notary Public U1 d Fords
Debra ue r
Commission No. � My GG 829457
expires t 1/3/2023
REVIEWS I FRONT I ZONING
` COUNTER REVIEW
DATE
RECEI
DATE
The forgoing instrument
this day of O C
Name of person making statem
Personally Known OR
Type of Identification
Produced
knowledged before me
E� 20 Wby
VP"I vuuu�u
MARIA R. BURGIN
s Commission # GG 362849
Expires -August -25, 2023
Sondad Thru Troy Fain insurance 800
38
7019
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
SUPERVISREVIEWOR I REV EW NS I V
REVi WON I SEATURTREV EWLE I M EV EWVE