HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED '
Date: 10/31 •4 2/ Permit NumbErD19r!1;TX11;1D
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Planning and Development Services
St. Lucie County, FL
_Building and Code Regulation Division Commercial Residential x
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:Scott & Dawnua Dawson
PROPOSED IMPROVEME,NT,LOCATION:
Address: 115 N Las Olas Dr,Jensen Beach FI 34957
Property Tax ID#: Act. #123122 Parcel ID-4511-500-0031-000/2 Lot No.15
Site Plan Name: This is an after the fact permit application* Block No. K622
Project Name: Tiki Hut Structure
DETAILED_DESCRIPTIOU OF WORK:
A 10x10 pole,to pole Tiki Hut with a one foot overhang. Main posts are 8"-10" in diameter, Florida native cypress poles
that are sleeved. Thatched roof is made from fresh cut Florida palm fronds that are individually attached to the purlins.
Open structure has sand floor with pavers and is fitted with electric that powers a fan and lights on it's own breaker.
New Electrical Meter NA Second Electrical MeterNA PoiPf ave, cyxcas&L
lust -t'wo down.
CONSTRUCTION INFORMATION.
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
A Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 10'x 10' Sq. Ft. of First Floor: 160 Sri k��- 64-`-�j1�-i
Cost of Construction: $ 2800 Utilities: —Sewer —Septic Building Height: 122 }
OWNER/LESSEE! CONTRACTOR: .
Name Scott& Dawnua Dawson Name:
Address:4255 Kentucky Terrace Company:Big Kahuna Tiki Huts, Inc.
City: Ottawa, Kansas State:_ Address:
Zip Code: 66067 Fax: City: State:
Phone No.816-491-5957 Zip Code: Fax:
E-Mail:scottdawson73@gmail.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
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 MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone 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.
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Si nature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 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 /G day of APp Je.wb ke- 2020 by this day of 2020 by
Do.'.Jnu P_ a,_rS O ---N
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification ✓ Personally Known OR Produced Identification
Type of Identification KY 0L- Type of Identification
Prod4of
I-le, G Produced
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Sign Public-State of Flgirida ) (Signature of Notary Public-State of Florida)
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Commission No. // SV& y� (S j RYPUBLIc-State ofKansa , ommission No. (Seal)
�ANDRA K. OW RD
My Appt•Exp.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Re-v—.576/20