HomeMy WebLinkAboutBuilding Permit ApplicationT
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED A
Date: Permit Number:�0 ' (N)
Planning and Development Services
Building and Code Regulation Division
I
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:
Address: 2306 S 39th Street, Fort Pie
Property Tax ID #: 2420-221-0009-00(
Site Plan Name: 1`C
r-
Project Name:
Building Permit Application
Commercial Yes
FL 34981
24' x 36' Modular Classroom to be placed on subject site on crushed rock base
Residential
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: 864 Sq. Ft of First Floor: 864
15,800.00
Cost of Construction: $ Utilities: Sewer _Septic
RECEIVED
RECEIVED
r 7019
(1rl:t
Igglp.dntme"nP
Permlttin9 ftartment
St. Lucie County
Lot No.
Block No.
_ Windows/Doors
Roof Pitch
Building Height:
0:1NNERnESSEE` � e
.., �.,b. . , ,.
tCONTRACT(3R
, , . „ . _... ..
NameJWL Enterprises, Inc
Name:Jeffrey P Baker
Address:8041 SE Orchard Terrace
City: Hobe Sound State: fJ�
Zip Code: 33455 - Fax:
Phone No.561-239-4756
Company:Castle Contractors, Inc
Address:1807 N 45th Street
City: Fort Pierce State: FL
Zip Code: 34947 Fax:
Phone No772-631-9992
E-Mail:jawandros@aol.com
Fill in fee simple Title Holder on next! page ( if different
from the Owner listed above)
E-Maiijeffpsl1971 @gmail.com
State or County License CGC1 514747
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or. more, a RECORDED Notice of Commencement is required.
i eli* cLcAVe_Tax b-ts ► a5e ; -t ZC o� ►�e�perM� �� o cl 5
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SUPPLEMEIUI`AL' CQNSTRUCTI�N LIEN LAtiIU�INFORMATIQN �. ;w
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:
i
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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signatur Contr ctor icense Holder
STATE OF FLORIDA t // <
COUNTY OF Gam. uG
STATE OF FLORIDA
COUNTY OF
The forgg}'ng instrument was acknowledged before me
this —'day of sep 0� by
The forgoing instru nt w s acknowledged before me
this 2L-"'Jayof eP ePA yf,(Zo�_?by
E cU ; 1 So ►�J �
J e +I_rr-may ic— 2
Name of person making statement. /
Personally Known OR Produced Identification
Name of person making statement.
Personally Known iOR Produced Identification
Type of Ident<'fication
Produced F.PL % wyaS- - s'i� yy3- O
Type of Identification
Produced
i
QMgn ture of Notary Public- State of J } t '. '•; DAVID T AN
14775 / A. MY COMMISSION
/
26om fission No.V Ga y77
EXPIRES July
4
(Signature of Notary Public- St
Commission No. G G O /
to 11• cida QAVID T ANDER
'c MY COMMISSION # G
%�:�aw �(Seal)EXPIRES July 24, 2
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
DATE
RECEIVED
IO�I�i
DATE
COMPLETED
ev. 2/7/19