HomeMy WebLinkAboutBuilding Permit Applicationj:7A fM1
1 All APPLICABLE INFO MUST BE WiMPLETED FOR APPLICATION TO BE ACC&fUO
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial NO Residential YES
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 JQ 772-979-0468
PERMIT APPLICATION FOR: JAY BUNK
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PR ®P SED�IMI?ROVEMNT LOCATIN< r j
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Address: 103 SE CELESTIA COURT / PORT ST. LUCIE /FL /34983
Property Tax ID #: 3419-540-0089-000-1
Site Plan Name:
Project Name:
�ipt2fr� ur��� s� Lot No. 35
Block No. 45
INSTALL MANUFACTURED UTILITY SHED (12' X 16') (WEATHERKING FL = MANUFACTURER) MAF=9749 PLAN 33097
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ELECTRIC ( INSTALL 30 FEET UG CONDUIT 24" DEEP MIN., 8116 CKT PANEL INSIDE SHED 240VOLT, LIGHT CKT, REC CKT INSIDE SHED, GROUND ROD FOR PANEL)
( CONNECT SHED BREAKER PANEL TO NEW EXTERIOR COMBO METER PANEL)(1pe-n„
New Electrical Meter- Second Electrical Meter
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 5b 0. o c�
_ Windows/Doors _ Pond
Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
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t` -m ;
O11U lER LESSEE � ; i
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CONTRA € OR r� "
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Name JAY BUNK
Name:
Address: 103 SE CELESTIA COURT
Company:
City: PORT ST. LUCIE
Zip Code: 34983 Fax:
Phone No. 772-797-0468
State: _
Address:
City:
Zip Code:
Phone No
State:
Fax:
E-Mail: DINGS@UNDENT1.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail
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.
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RSU.PPLEMENT4 !' CONSTR', 1CTIOI ,LAW N;
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DESIGNER/ENGINEER: of Applicable
Name:
;tl': v ;t r'::
RRpy �R.A I,O�[
�y:.� R Q c
i R .4"" �� ECY. .. «Ifrv'.vi , • 1. .N�.�2 r 50 E��E{:; f ^'s
MORTGAGE COMPANY:
Name: -
Address:
City:
Zip: Phone:
_ Not Applicable
State:
Address:
City: State:
Zip: one OF
FEE SIMPLE TITLE HOLDER:
Name:
of Applicable
BONDING COMPANY:
Name:
Address:
Not Applicable
Address:
City:
Zip: one:
City:
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 attornev before commencing work or recording your Notice of Commencement.
Sign r of O ner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLO A
STATE OF FLORIDA
COUNTY OFFTP
- /. UCH P _
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical -Presence or Online Notarization
Physical Presence or Online Notarization
this day offt_2L/)"41,4= , 2020 by
this day of , 2020 by
` 2a! A1,4Z g
Na of person making statement.
Name of person making statement.
Personally Known OR Produced Identification ,e--
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced FL �—werS G�«���
Produced
45
ignature of Notary Public- tp000feElorl" Pubfir State of FloridaJmgnature
of Notary Public- State of Florida
M GiosiCommission
No. ,." 4�onGG300319mission
l /2023Seal
No. ( )
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. I .