HomeMy WebLinkAboutBldg Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
LMCOL -
o dA
-_ 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:
PROPOSED IMPROVEMENT LOCATION:
Address: 6600 Lee Blvd Fort Pierce, FL 34951
Property Tax ID #: 1301-608-0129-000-3
Lot No.
Site Plan Name: Gary and Wanda Stine Block No.
Project Name: Gary and Wanda Stine
DETAILED DESCRIPTION OF WORK:
24x40x8 steel building on new concrete. No electric, no plumbing, 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: quo Sq. Ft. of First;7S,
Cost of Construction: $ ' '�O� Utilities: _ Sewer ptic Building Height:
OWNER,/LESSEE:
CONTRACTOR:
Name Gary and Wanda Stine
Name:James Player
Address:6600 Lee Blvd
f:amnrts Anrhere _
Company.
Address: PO Box 776
city: Fort Pierce State: EL
Zip Code: 349551 Fax: 352-468-1113
Phone No. 352-468-1116
E-Mail: jbpermitsfl@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
City: Starke Stater
Zip Code:Fax: 352-468-1113
t�a1
Phone No 352-468-1116
E-Mail jbpermitsfl@gmaii.com
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
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zi p: 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 commencine work or recordine vour Notice of Commencement.
A. Malid�--Vu
Signature of Owner Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ;�,�,•, 4
COUNTY OF 8RA-DP" D
.worn to (or affirmed) and subscribed before me of
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S orn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Presence or Online Notarization
this LJa day of 2020 by
this _Qday of 2020 by
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UA►„G6 PL-4Y6-1�
Name of person making statement.
Name of person making statement.
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Personally Known OR Produced Identificationy
Personally Known * OR Produced Identification
Type of Identifi tion
Type of Identification
Pr duced rL C&'*
Prod ced
ky, IL
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n ure of Notary (Signature of No -
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IN AMaiAIiAM „V: MARIAR. BURGH
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Commission No. ;;*j A1YCOANAWN Commission No. :+y9 ': ssion*1345 WB -
o; '+� Deaair 20ZQ22 ": ;`• ExpiresAugust 25,2023
REVIEWS FRONT ZONING SUP PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Te_775/6/20
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