HomeMy WebLinkAboutBuilding Permit Application I
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Ail APPLICABLE INFO MUST 6E COMPLETED FOR APPLICATION TO BE ACCEPTED:
Dates Permit Number:
PIL
Building Permit Application
Planning and'D'evelopment_Senices
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue,Fort Pierce,FL 34982
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Phone:(772)46271.553 Fax:(772):462-1578
PERMIT APPLICATION FOR.
Building (accessory structure)
Address:.5605 Eastwood Dr Fort Pierce, FL 34951
Property Tax ID If. 1301-613-0394.-000-7 Lot No.6
Site,Plan Name: Kimball garage Block,No, 154
Project Name: Kimball Garage
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24'Wx26'Lxl5'Peak Height enclosed metal accessory structure.anchored to concrete
New Electrical Meter N/A Second.Electrical MeterN/A
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 3/12 Pitch j
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Total Sq. Ft of.Construction:624 Sq. Ft.of First Floor 624
Cost of Construction:$ 9935.00 Utilities: —Sewer —Septic Building Height: 15'
,aU�INER/LESE � �
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Name Gary L and Mary Jane M Kimball Name:Michael Johnson
Address:5605 Eastwood Dr Company:Carolina Carports
City Fort-Pierce State:_P Address:187 Cardinal Ridge Trail
Zip Code; 34951 Fax:.. City: Dobson State:NC.
Phone No.7722241159 Zip Code: 27017 Fax:
E-Mail: Phone No800-670-4262 ext 250.5
Fill in.fee simple7itleHolder on next page(if.different E-MailMIKE.M@CAROLINACARPORTS.COM
from the Owner listed above) State or County LicenseCBC1254822
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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DESIGNEVENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name:6echtol Enolneedng Name:
Address::6os w,No,vokAve Address:
City: Deland State:Fr City: State:
Zip: 32Tz Phow@64U-5444 Zip: Phone:
FEE SIMP.LETITLE HOLDER: x_Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address .Address:,
Ci City::
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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 ppermit 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 accord ance:With the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permitapplications are exemptfrom undergoing;a full concurrency review:room additions,
accessory structures,swimming pools,-fences,walls,signs,screearooms and accessory uses to another non-residential use
WARNING TO OWNER;Your failure to Record a Notice of Commencement may result in paying twicefor
improvements to your property. A Notice of Commencement must be recorded in the public,recofds 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`Commenceriient.
Signature of Owner[ ssee/Contractor as Agent for Owner Signature of Contr or/License.Holder
STATE OF T5k STATE'OF FLOMA: 6�1`511-
COUNTY OF L14F COUNTY OF: LIE-0
Sworn to('or affirmed)and subscribed before me of Sworn to(or affirmed)..and subscribed before me of
,-"Physical Presence or Online Notarization --�h�ysical Presence or Online Notarization
this�day of_:D4 ,eA,4wj 2020 by this '�day of l�eurbeJ 2020 by
Name of person making statement. Name of person making statement.
Personally Known_�OR-Produced.Identification Personally Known / OR Produced.Identification
Type of Identification � Type of identification „z,+fu11001",,�
Produced .�`��5 MIONq Produced
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(Signature ry P.ublic-State of'germ 'j/�/;f, C (Signature of Notary Public-State of117
-F}erigU7 ,' ilk
'QlA <gGl} eseo4i S ; ;gAn�7s t� js� _
Commission.No. �(Sp�al) zo?21�Q j .Commission No: atd
VEGETATION SEA TURTLE
REVIEWS, FRONT ZONING S PIsRVtSOR PLANS, MA l�%
COUNTER REVIEW . REVIEW REVIEW REVIEW REVIEW REVI�W
DATE
RECEIVED:
DATE
COMPLETED
ev.5/6/20