HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /b►
Date: 01/10/2017 Permit Number: lJ
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Building Permit Application MAR 3 0 2017
Planning and Development Services P E Rllr ITTI N G
Building and Code Regulation Division St. Lucie County, I-L
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax;(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Aluminum with. 6 ,r Po r—T—
PROPOSED iMP_ROVEMENT.LOCATION:
Address: 4442 Edwards Rd,R.Pierce,FL 34981
Legal Description: 30 35 40 FROM INT NLY RM EDWARDS RD AND WLY RIW ROGERS RD RU N 00 29 26 E 335.06 FT,TH S 88 23 E 327.1 Fr,
TH N 8812 21 E 524.86 FT,TH N 00 29 26 W 328 FT TO POB(3.94 AC)(OR 224-960:267-1875:303-9;2211-2847.-2531-1849:2211-2847:3693-648:3693-1025)
Property Tax ID H: 2430-113-0001-000-1 Lot No.
Site Plan Name: Block No.
Project Name: HARRIS
Setbacks Front Back: Right Side: Left Side:
,DETAILED"}DESCRIPTION O,F WORK:
18 x 20'metal carport
CONSTRUCTI DR:INFORMATION: -
AaditionalWorKtol3enerrormed underd this perm —cheCK all apply:
11HVAC Gas Tank ❑Gas Piping _Shutters ❑Wlndows/Doors
11 Electric ❑Plumbing Sprinklers Generator Roof Roof.pitch
Total Sq.Ft of Construction: 360 S Ft.of First Floor:
Cost of Construction:$ 1200 Utilities:Sewer®Septic Building Height: 10
pVllNER/LESSEE; _ CONTRACT��R: '
Name LORRAINE HARRIS Name: JOHN GRAHAM
Address:4442 EDWARDS RD Company: JTG CONSTRUCTION LLC
City: FT PIERCE State:FL Address: 109 CEDAR OAK TRIAL
Zip Code: 34981 Fax: City: LONGWOOD State:FL
Phone No.772-464-5146 Zip Code: 32750 Fax:
E-Mail:JEANETTEHMM@HOTMAIL.COM Phone No. 352-434-9706
Fill in fee simple Title Holder on next page(if different E-Mail: jtg—rock@yahoo.com
from the Owner listed above) State or County License: CRC1330908
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
V- r2 W vam,A " 1 (0 z-� �5
SfUPPLEIVIENTi4LCONSTRUCTlON LIEN`LAW'INFORMATION
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x—Not Applicable
Name: Name:
Address:— Address:
City: state: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address-
City: City:
Zip: _ Phone: Zip: Phone:
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 wili'authorize the permit holder to build the subject structure r
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. f
In consideration of the granting of this requested permit,I do hereby agree that l will,In all respects,perform the work t
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 your paying twice for_
improvements to your property.A Notice of Commencement must be recorded 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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Sign e: o
of wner Lessee n ctor asAgent_for Owner: Sig cur ontracto cen
STATE OF STATE OF FLORIDA
COUNTY OF FLORIDA21!11/ COUNTY OF C X'Mt No e
The f oin instrument w acknowled ed before me 4
The for oing instru ent was ac cn Wedged before me g g j
this/day of 20 �by this day of \1 �td�rCJV 1 ,20 by t
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(Name of person acknowledging) (Name of person acknowledging.
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(Signature of Not Public-State of Florida) ure of Notary Public-State of Florida) 1
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Personally Known V OR Produced Identification Personalty Known OR Produced Identification
Type of identification Produced Type of Identification Produced
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Commission No.. l� „ ; (seal) l2 Sion No, ,iE�EW SI)WWoO 6W `a*
npB, t)iANA E.BUCK 09ZLoz 44#UOIsslwwo0 . . _
:° �`� Notary Public-State o Rye Ot, +
a•= Commission#FF 202155
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M Comm. Expires +.
Revised 07/15/2014 • °p Y pies Jun 14, 2019 ;
,` Bonded throe h i`d7.tiriial Nota+ _
REVIEWS. FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW 1
DATE
COMPLETE 1
INITIALS
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