HomeMy WebLinkAboutBuilding Permit Applicationr'
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �n
Date:'.QA�� a ` Permit Number:
E [LUCES �, d RECEIVED
M
U `fir MAY 13 2021
a > Building Permit Application
P2rmittng Department
Planning and Development Services St. Lucie county
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:
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Address: 10105 MULLER RD
Property Tax ID #: 2334-700-0003-000-2
Site Plan Name:
Project Name: OUTBUILDING - POLE BARN
WOOD STRUCTURE POLE BARN WITH STEEL TRUSSES AND ALUMINUM ROOFING SYSTEM.
30'x36'x12'
New Electrical Meter Second Electrical Meter
Lot No.
Block No.
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: 1080 Sq. Ft. of First Floor: 1080
Cost of Construction: $ 2499 Utilities: —Sewer —Septic Building Height: 12'
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NameCHRISTINA ALBRITTON
Name:
Address:10105 MULLER RD
Company:
City: FORT PIERCE,, State:
Zip Code: 34945 Fax: 772-318-6686
Phone No.561-202-4875
_
Address:
City:
Zip Code:
Phone No
State:
Fax:
E-Mail: CHRISSY.ALBRITTON@GMAIL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail
State or County License
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.
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DESIGNER/ENGINEER: x
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
X_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip:
Phone:
State:
FEE SIMPLE TITLE HOLDER: x
Name:
Not Applicable
BONDING COMPANY:
Name:
X Not Applicable
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 attornev before commencing work or recording your Notice of Commencement.
Sig ure of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA -
STATE OF FLORIDA
COUNTY OF '4 1 I JC tt-.
COUNTY OF
Sn to (or affirmed) and subscribed before me of
V,Pbysical
Sworn to (or affirmed) and subscribed before me of
Presence or Online Notarization
Physical Presence or Online Notarization
this IA day of ��, 2024 by
this day of 2020 by
45 tJ
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identifi ' n
Type of Identification
Produced
Produced
(Signature of Notary Public- State of F
ig ture of Notary Public- State of Florida )
777,, KAF;EN S. NIEL
UCommission No. a`�aR� of Florida otar
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public
7aBr41 fission No. (Seal)
= .= Commission
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Rev. 5/6/20