HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Q1� �1�u2.1 Permit Number:
0
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
1300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Address:
, FL 34947
Property Tax ID #: 2419-601-0043-000-0 Lot No.
Site Plan Name: Kenneth and Enedinia Moore Block No.
Project Name:Kenneth and Enedinia Moore
wV.x",Y�}y'Sy t}✓�F•'7'%?:!
r 2�r y �. �. .�, ,?.+^• y* +�"'ti-*;i�`Tr.'�"` l� �T.� �.x
24x20xl 1 steel building on new concrete. No electric, no plumbing, no driveway.
Cu.Sfoma VwUtd Cohcno to *4 2 it)14 - [ k k i
New Electrical Meter Second Electrical Meter
- 'y?•F.r"�.3e i� {'r� t � 1�'.ly��� 1k?��y. "7 y� K s �1�yPr " S.a .'� y�..Q„tF1-Cf'r �' Jy7C % F� ".a.
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
— Electric ^ Plumbing _ Sprinklers
Total Sq. Ft of Construction: I bO
Cost of Construction: $ I I ri " 1 ' 7-0
_ Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
_ Roof Pitch
Utilities: —Sewer ASeptic Building Height: I G
fir. Y''•6iF`C }r.Y'f.3
r '�.. Nt
ANN
Lk )� �C�,�I~ l�.¢}(Cyyr Y, *}, i
a�'
N vl{,%`4 .S yriF
h .� �{•F '•,J�- Y ypyr ;^�.,''J' T; 3, ry
Name Kenneth and Emlinen MonrP
Name: James Player
Address: 2601 Rolyat ST
Company: Carports Anywhere
City: Fort Pierce State:FL
Address: 2601 Rolyat ST
Zip Code: 34947 Fax: i - y � .I fffo
city: Fort Pierce State: FL
Phone No.
Zip Code: 34947 Fax: 352-468-1113
Phone No 352-468-1116
E-Mail:
Fill in fee simple Title Holder on next page ( If different
E-Mail_ jbpermitsfl@gmail.com
from the Owner listed above)
State or County License CBC1251995
-- - _ -, a a.a wina+w a.uuwe ut a.ummencemenz is regwrea.
If value of HAVC Is $7,500 or more, a RECORDED Notice of Commencement Is required.
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone
_Not Applicable
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/ Les a/Contractor as Agent for Owner Signature of Con ractor/license Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF <; 4= C"(2— 1 COUNTY OF 8P, -c F 0 R D
Sworn to (or affirmed) and subscribed before me of
-"'Physical Presence or Online Notarization
this 2a day of —_NU `2 . 202( by
Name of person making statement
Personally Known OR Produced Identification ✓
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Commission No, i*' (Se*RIANARArA
Notary Public • State of Florida
Commission 0 GG 964625
My Comm,'Eepires Nay 7, 2023
REVIEWS FRONT I �f
COUNTER REVIEW REVIEW
RECEIVED
COMPLETED
Sworn to (or affirmed) and subscribed before me of
1 Physical Presence or Online Notarization
this day of ALI61—t-4 `T 2029f by
UiiM6-6 /—LA-Yfn
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
o?�i1 e2J
(Signature f N,V&V..,fubW rAW gtAggKla JJ
,.-
Commissio Ko. Commission # GG 846
gust 25, g�
`•` $;', ; °�' Bonded Thru Troy Fain Insurance 800-385-7019
PLANS I VEGETATION I SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW