HomeMy WebLinkAboutAgriculture Exempt Building Permit ApplicationAll APPLICABLE INFO MUST BE COMPLY D FOR APPLICATION TO BE ACCEPTED
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Agriculture Exempt Building Permit ApplicaTJOAingnty
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: TBD (Off Carlton Road)
Property Tax ID #: 4210-131-0001-000-7 Lot No.
Project Name:. M Ranch
DETAILED DESCRIPTION OF WORK:
42' x 65' Galvanized metal barn/garage structure with a roll -up door for the housing of
farm equipment and storage of surplus hay. Structure is to sit on concrete slab and
have a metal frame and metal roof and wall panels. No .electricity or plumbing.
CONSTRUCTION INFORMATION:
Utilities: _Sewer _Septic Sq. Ft. of First Floor:
Cost of Construction: $ Total Sq. Ft of Construction:
FLOODPLAIN DEVELOPMENT PERMIT for structures exempt from Building Code that are in the
floodplain:
Nonresidential Farrri Building: Temp. Bldg./Shed used exclusively for construction
Mobile/Modular for temp. construction office: Bldg. involved in distrib. of electricity:
Other: Flood Zone: BFE: Floodway? Y/N If Y,.
No Rise Certificate with supporting data attached? Y/N
All other applicable state and federal permits shall be obtained prior to commencement of
construction.
OWNER/LESSEE:
CONTRACTOR:
Name rt
Name:
Address: NIS
Company:
City: , la, w Ir Stater
Address:
Zip Code: Fax:
City: State:
Phone No. a IQ -
Zip Code: Fax:
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g
E-Mail: 9 %q +
Phone No .
Fill in fee simple Title Holder on next page ( if different
E-Mail
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 HVAC is $7,500 or more, a RECO ED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
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 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 YOUR PAYING
TWICE TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
%RIMPROVEMENTS
POS DTHE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WIT YOENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signatur wner ssee , ontractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF L J
COUNTY OF
The for oing instrument was acknowledged before me
this day of20_7_-(by
The forgoing instrument was acknowledged before me
this day of 20_ by
,
Name of person making statement.
Name of person making statement.
✓
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identificatl
Type of Identification
Produced ..ef
Produced
(Signature of Notary Public- Stat f I rida)
(Signature of Notary Public- State of Florida )
Commission No. ;�;Y" vagHEATHER BUR
tate of Florida -Note
QjjD
r ! ion No. (Seal)
_• •`- Commission # GG
83217
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REVIEWS
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COUNTER
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REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
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COMPLETED
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