HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPETED FOR APPLICATION TO BE ACCEPTED--
.
Date.. 11-19-20 -br0 9 del -I N L6 bbr Permit Number: 20i 1
00c, RECEIVED
f UUUL� ;--
0
° Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
NOV 1'o 2020
Mrmitting
St. Lucie cow p/
Residential X
PERMIT APPLICATION FOR: Outdoor Pavilion
IMPROVEMENTwLOCAT)
,PROPOSED
Address: 15367 Sky King Drive Port St Lucie, FL 34987
Property Tax ID #: 4224-501-0071-000-6
Site Plan Name: Homeowner
Project Name: Outdoor Pavilion
DETAILED DESCRIPTIONOF W(
Building a 16' X 24" Outdoor Pavilion
New Electrical Meter NA Second Electrical MeterNA
CQNSTRUCTION INFORMATION u -
Lot No.
Block No.
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 12/8 Pitch
Total Sq. Ft of Construction: 384
Cost of Construction: $ 6,000
Sq. Ft. of First Floor: 384
Utilities: —Sewer _Septic Building Height: 15
OWNER/LESSEE:. .
CONTRACTOR':
Name David Naugle
Name:Owner Builder
Address:15367 Sky King Drive
Company:
City: Port St Lucie State: _
Address:
Zip Code: 34987 Fax:
City: State:
Phone No.772-538-4765
Zip Code: Fax:
E-Mail:N2freeflight@hotmaii.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
It value of construction is Z500 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 LIpN „LAW;INFORMATION;
�o u ,4
/ —Applicable�e
DESIGNER ENGINEER: Not
MORTGAGE COMPANY: � Not
of Applicable
Name: Architectonlc Inc
Name:
Add ress: 806 Delaware Ave.
Address:
City: FortPierace State: FL
City: State:
Zip:34950 Phone772-460a751
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: 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 County 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 our Notice of Commencement.
Signatur ofi Own r essee/ ontractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA�
STATE OF FLORIDA
COUNTY OF , , _ L VQ ,Ir (7,
COUNTY OF
Sito (or affirmed) and subscribed before me of
7Physical
Sworn to (or affirmed) and subscribed before me of
Presence or Online Notarization
Physical Presence or Online Notarization
this day of . 2020 by
this day of 2020 by
J�) 0 V\ka\:
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identificationy/
Personally Known OR Produced Identification
Type of Identification
L.,
Type of Identification
Produced
(Signature of N a(,&' 'blic- SKAC IoriMLS EN
Produced
(Signature of Notary Public- State of Florida )
��State of Florida -Notary Public
Commission No �� re Commission I xpir s
ommis�+ xpires
Commission No. (Seal)
June 12, 2022
REVIEWS FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20