HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
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:
PROPOSED IMPROVEMENT LOCATION:
Address: 2445 JERNIGAN RD Fort Pierce FL 34953
Property Tax ID#: 2321-501-0045-000-7 Lot No. 3-6
Site Plan Name: Block No. D
Project Name: Mike Langen
DETAILED DESCRIPTION OF WORK:
install 40x76x16 enclosed steeel building on new concrete
no pluming no electric no driveway
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
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 Pitch
Total Sq. Ft of Construction: 3040 Sq. Ft. of First Floor:
Cost of Construction: $ 46771 Utilities: —Sewer _Septic Building Height: 16
OWNER/LESSEE: CONTRACTOR:
Name Mike Langen Name: James Player
Address: 2445 Jernigen Road Company: Carports Anywhere Inc.
City: Fort Pierce State: FIL Address: PO BOX 776
Zip Code: 34953 Fax: 352-468-1113 City: Starke State:FL
Phone No. 352-468-1116 Zip Code: 32091 Fax: 352-468-1113
E-Mail: permitting(d)caportsanywhere.com Phone No 352-468-1116
Fill in fee simple Title Holder on next page(if different E-Mail permitting@caportsanywhere.com
from the Owner listed above) State or County License CBC1251995
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.
Si nature of O ne essee/Contractor as Agent for Owner SignaturUf Contractor/License Holder
STATE OF FLORIDA4 STATE OF FLORIDA n�oRD
COUNTY OF '5---' lUl:L'C� COUNTY OF 13 R,g
S_wPrn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
(A Physical Presen cp
or Online Notarization _* Physical Presence or Online Notarization
this ill day of 20J.by this day of 2020 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Iden ' 'ca ion Type of Identification
Produced �J�i� Pro uced
(Signature of Notary Pub +t �l�)°°�' (Signatu -
�r*' Notary Public State of Florida MARIA R.BURGIN
War ,SA(�to
Commission No. My k�s+on GG 184727 Commis oia Commission#GG 352849 (Sea
p�octi Expires 0 211 1/202 2 ExpiresAUgUsf 2.5,2023
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20