HomeMy WebLinkAboutBldg permit application , page 1All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Cn
OUNTY
F
LORI
DA-441
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:
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial Residential
Address: 702 ANITA ST FT PIERCE FL 34982
Property Tax ID #: 3403-331-0002-000-7 Lot No._
Site Plan Name: JAMES OR DORIS STAPLETON Block No.
Project Name: JAMES OR DORIS STAPLETON
DETAILED DESCRIPTION OF WORK:
24X50X14 STEEL BUILDING ON NEW CONCRETE
** No Plumbing, No Electric, No Driveway**
vzvised S l 2C . 20 x kacx 14 en cl wed bl&
CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 1200
Cost of Construction: $ 14299.84
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name: James Player
Address:��? ��,,�.,lr �j —
Company: Carports Anywhere
City:State: 'I�;i-
Zip Code: :09-rz Fax:
Phone No. 77Z-- zc?> - fey_t, -
Address: PO BOX 776
City: Starke State: FL
Zip Code: 32091 Fax: 352-468-1113
PhoneNo352-468-1116
E-Mail: C'%/1�r.� cleyn�4,�' �e ter;,,«%e�:,��
V
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailJbpermitsfl@gmail.com
State or County License CBC1251995
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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name: ;
Address: - Z ;�W —
Name:
Address:
City: CI!5
City:
one:
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 COMME CEMENT."
Sig ature of Owner/ Le see/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF _5T L V
STATE OF FLORIDA
COUNTY OF BRAD FORD
The forgoing instrument was acknowledged before me
this � day of ( a.,,aa 20�j by
The forgoing instrument was acknowledged before me
this R day of A-L46UST 2020 by
-swr'-e-�
J,+IA IE s
Name of person making statement.
Name of person making statement.
e
Personally Known OR Produced Identification Y
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
( nlar e o otary Public- at
ZG94 G63�� LYSA JANE CAREW
Commission NO. (160MMISSION 4 GG941663
(Sign ture•n, o �rRy r lAR. U GI
=�°,�, P
Commission # GG 362849
COm k (�E� ( al)
��oe� EXPIRES: December
�gust 25,2
Bonded ThruTroy Fain insurance 800-385-7019
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
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