HomeMy WebLinkAboutTimmerman Bldg AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION! TO BE ACCEPTED
Date: Permit Number:
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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: 12055 S Indian River Dr., Jensen Beach, FL 34957
Property Tax ID #: 4504-602-0005-000-2 Lot No. 5
Site Plan Name:
Protect Name:
Block No.
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INSTALL D TAC:H -D 0X30X12 ST Fl BLDG_ WITH _ * 1 X30X8 LEAN TO
**SITE BUILT** **NO MEP **NO ROW**
New Electrical Meter Second Electrical Meter
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Additional work to be performed under this permit - check all that apply:
Mechanical GasTank Gas Piping Shutters Windows/Doors Pond
Electric Plumbing Sprinklers Generator
Total Sq. Ft of Construction: 720 Sq. Ft. of First Floor:
" Roof_ Pitch
720
Cost of Construction: $ 19,916.00 Utilities:_____`Sewer Septic Building Height: 12.5/9.5
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Name WILLIAM TIMMERMAN
Name:
James Player
Address: 12055 S Indian River Dr.
Company:
Carports Anywhere, Inc
City: ensen Beach State. FL
Address:_
PO BOX 776
ZipCode: 34957 Fax: 352 468-1113
City:.
Y.
Starke State: FL
Phone No. i(3521-468-1116
Zip Code:
32091 Fax (3521468-1113
E-Mail: permitting@carportsanywhere.com
Phone No
352)468-1116
Fill in fee simple Title Holder on next page. (if different
E-Mail
pgrmittinaO)carr)ortsanywhere.corn
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 H"C is $7,500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: Matthew T. Baldwin P.E.
_
Name:
Address: 1160 Private Road
Address:
City: Deland State: FL
City: State:
Zip: 32720 Phone 68-11T6__—
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.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature ontractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA Q v ��
COUNTY OF (GtcLC.'��
COUNTY OF `✓���F
Swv rn to (or affirmed) and subscribed before me of
S rn to (or affirmed) and subscribed before me of
V Physical Presence or Online Notarization
Ph sical Presence or Online Notarization
2
this i 7 day of I lil / 20-18 by
this /IA-
day of !1J— 202d by
�r
WILLIAM TIMMERMAN
James Player
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature
(Signature of otary Public- State of Florida )
DIANE (OLE
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Notary Public - State of r 1
COmmissi0' y k GG96�
E
= : MA�RIA6R BURGIN
Commission U " ` (Seal)
My Comm. Expires Mar 14, 2024
Bonded through 4at'nnr.
n # GG 362849
• a.. d, Expires August 25, 2023
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I Thru Troy Fain Insurance 8
0-385-7019
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Rev.5/6/20