HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/13/17 Permit Number:
FED 3 2MIG
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 10518 Clakbridge Court
Legal Description: Lot 2,Clakridge Subdivision According to the plat therfor as recorded in plat book 57,page(s)5 and 6,of the public records of St Lucie County,Florida.
Property Tax ID#: 1309-500-0005-000-1 Lot No.2
Site Plan Name: Block No. 57
Project Name: Huff Detached Garage
Setbacks Front-96.87' Back: 30' —Right Side: 50' Left Side: 181.05'
DETAILED DESCRIPTION OF:WORK:
Construct new CBS 2 car detached garage
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—Che_cYa_FffiR apply:
F]HVAC E]Gas Tank F_]Gas Piping E]Shutters Windows/Doors
ZElectric 0 Plumbing []Sprinklers 1:1 Generator Roof
Total Sq. Ft of Construction: 1200 Sq. Ft.of First Floor: 1200
Cost of Construction:$ 40000 Utilities:0Sewer E]Septic Building Height- 19.5'
OWNER/LESSEE: CONTRACTOR'
Name Danny and Jenny Huff Name: James Trefelner
Address:7807 San Carlos Dr Company: Trefelner Construction Inc
City: Fort Pierce State:FI Address: 1760 Copenhaver Road
Zip Code: 34951 Fax, City: Fort Pierce State.F1
Phone No.772-332-5567 Zip Code: 34945 Fax:
E-Mail: Phone No. 772-201-9833
Fill in fee simple Title Holder on next page(if different E-Mail: trefeined@bellsouth.net
from the owner listed above) State or County License: CRC1330685
If value of construction is$2S00 or more,a RECORDED Notice of Commencement is required.
All
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION,:
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Todd N Smith,P.E.Inc Name:
Address:121 HitcnmanAve. Address:
City: Sebastian State: FI City: State:
Zip, 32958 Phone: 772-589-8722 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording ou rhotice of Commencement. lz
T�
_Signat of Owner/Lessee/Agen Signatur Contractor/License r
STATE OF COUNTY OF FLORIDA(( �f�7k, n G COUNTY OF STATE OF ORIDA
The i!�iifay
instr t as acknowledge fore me The for oing instr nt as acknowledge before me
this of 20I_by ay
of 20by
( a e f person acknowl Bing) (Name of person acknowledging) /
(Signature of Nota Public-State of Florida) / (Signat a of Notary blic-State of Florida) /
Qe so entifcatbn ✓ Per ona��ybl��A 11 t 1 t- -cation, ✓
TY of do t FF T ip _ a P
11;�# *� Rub io- tate o on a -N: �+ °'' COMM ssion State of Florida
f�n Commission#FF 234730 ''
e Seal) I ommIs5(i d. #FF 234730 ( al)CC Ivy➢' ttes MayV,2019 ( Ma
Bonded through National Notary Assn. �. Bonded throw Ifes y 27 2019
through National Notar
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE _0v
/o
INITIALS lit-