HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE.INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ��0 V�✓.�
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
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Address: 4915 SilVer Oak DR Fort Pierce, FL 34982
PropertyTax ID#: 3402-606-0208-000-1 Lot No.
Site Plan Name: Christina and David Mckenzie Block No.
Project Name: Christina and David Mckenzie
20x25x9 steel building on new concrete. no electric no driveway, no plumbing
New Electrical Meter Second Electrical Meter
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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 r Roof Pitch
Total Sq. Ft of Constru t' Sq. Ft. of First Floor:
Cost of Constructia :$ ilitles: _Sewer _Septic Building Height:
Name Christina and David Mckenzie Name�ames Player
Address-4915 Silver Oak DR' Company:Carports Anywehre
City:Fort Pierce State: FL Address: PO Box 776
Zip Code: 34982 Fax: City: Starke State: FL
Phone No. —1-i 2.S-1 q -'i q 135 Zip Code: 32091 Fax: 352-468-1113
E-Mail:_C-h i,;;' 1t1f` , lSi_llg_)VcthmC r'c;trl Phone No 352-468-1116
Fill in fee simple Title Holder on next page(if different E-Mail Jbpermitfl@gmail.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.
4v 'ha r�NST V,�COJC ONA� L FORM ATT
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: Statee:. . 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 clothe work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count, makes no representation that is granting a permit wilLauthoriz.e the permit holder to build tM 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 coneurrency 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 attornev before Commencing work or recording our Notice of Commencement.
Signature of'Owner/Lessep/Contract6t as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA.
COU N'iY'OF SSA' au,�Q - COUNTY OF 1 'A-D Fey
Sworn to(or affirmed)and subscribed before me of nhy,
o(or affirmed)and subscribed before me of
Physical Presence or Online Notarization sical Presence or Online Notarization
this + day of I 2020by 0day of 20 : by
C is , G -2V1 12, 1.1,4tf1 cog ! y E[A _
1.
Name of person making statement. Name of person making statement.
Personally Known Y-. OR Produced Identification Personally Known M OR Produced Identification
Type of Identification Type of Identification
Produced Produced
Si nature of Nota Public-State of f4o�1 ) KE (Signature of N
g IUE SHAY 8EE8
MARIAR.i3URGIN
/^� f * Commission#GG 949 9 Commission GG 3a'> °
Commission No.G R`i N pal) Commission No ... eal
o• )Expires January 21.20 4 0
jFaF FLOC senaea ihrus8yet sery . , Expires.ugusl��
Notify s Y, BFnded Thm!toy F,.:r In3u;Mce -�O.t9
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE.-
COMPLETED
ev. 5/6/20