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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/30/2020 Permit Number:
ST. LUCIE
COC_I NT�Y
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
RECEIVED
Building Permit Application
Permitting Department
St. Lucie County
Residential X
PERMIT APPLICATION FOR: Detached metal Utility/ StruCtuCe
FROPOS.ED IMPROVEMENT LOCATI'ON:"
Address: 1210 Country Gardens Lane
DEC O 4, 2020
Property Tax ID #: 3403-502-0224-000-3 Lot No. 212/213
Site Plan Name: Block No.
Project Name:
1,0ETAILED DESCRIPTION OF WORK
Form and pour 40X24 slab. Installation of Carports Anywhere Utility Structure.
New Electrical Meter no Second Electrical Meter-no
INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing
Total Sq. Ft of construction: 960
Cost of Construction: $ 30,000.00
_ Sprinklers _ Generator
Sq. Ft. of First Floor:
Roof Pitch
Utilities: —Sewer —Septic Building Height: 1 n
r OWNER/LESSEE:
CONTRACTOR: Don Hinkle Construction Inc
Name Jacob Derosa
Name: Don Hinkle
Company: Don Hinkle Construction Inc
Address: 1210 Country Gardens Lane
City: Fort Pierce State: _
Address: 246 Bimini Dr
Zip Code: 34982 Fax:
City: Hutchinson Island State: FL
Phone No. 7725191032
Zip Code: 34949 Fax: 7724671348
E-Mail:
Phone No 7725282249
Fill in fee simple Title Holder on next page (if different
E-Mail donhinkle@bellsouth.net
from the Owner listed above)
State or County License CGC 036040
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
BONDING COMPANY: Not Applicable
Name:
Address:
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 your Notice of Commencement.
Q C.,,- G4'"
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 3
COUNTYOF Ska �vz�P
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 of �,2`c 2020 by
this day of\0`Q�,c , 2020 by
1
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NINIc,`'t
dd1w� ,y� C e
dy\aN d
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
roduced
Produced
(Signature of Notary blic- Stat o�+� )
�? MY COMMISSION # GG
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qre of Nota Publi� ., to ' ,
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(PIRESDece Commission No. aad� _+' a&ndedihn+NotarYp"blieUion
No.C,G °��0'tis rtr
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20