HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED
Date
R APPLICATION TO BE ACCEPTED'
Permit Number:
F�
BuildingPermit Application ' 2017'_ /
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St. to i fiLco N
Planning and Development Services ��e I G
Building and Code Regulation Division u` F(
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
Property Tax ID #: 2308-314-0003-000-6
Site Plan Name: Jared Modine Pole Barn
Project Name: Jared Modine Pole Barn
Setbacks Front Back:'
24'x48' Pole Barn to be constructed
Additional work to nje nerrormea
0HVAC L_J Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: 1,152
Cost of Construction: $ 2,400.00
under this
Right Side: 3n /_ Left Side:
wood coulmns, metal purlins and metal roof.
?rmit - check all apply:
rn
as Piping _ Shutters
prinklers E Generator
_S . Ft. of First Floor:.1,152
Utilities: Sewer E] Septic
Lot No._
Block No.
QWindows/Doors
ELRoof 3 • Roof pitch
Building Height: 12'
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26
77777777
NameJared Modine
Name: Jared Modine
Company: Cole Construction Services, LLC
Address:497 S. Brocksmith Rd
City: Ft Pierce
tate:FL
Address: 497 S. Brocksmith Rd
Zip Code: 34945 Fax:
City: Ft Pierce State: FL
Phone No.772-519-0558
Zip Code: 34945 Fax:
E-Mail:coleconstruction@hotmail.com
Phone No. 772-519-0558
E-Mail: coleconstruction@hotmail.com
Fill in fee simple Title Holder on next page ( if
different
from the Owner listed above)
State or County License: 29778
If value of construction is $2500 or more, a RECURDEU Notice oT commencement is requireu.
Name:_
Address:
City:
Zip:
one:
Name:_
Address:
City:_
Zip:
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as inaicatea.
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 for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
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Signature f O ner/ Lessee/Contrac gent for Owner
Signat e o Contra or/License Holde
STATE O FL RIDA
STAT OF FLORIDA
COUNTY SM. u4c,(
COON OF ST L14Qo:
The forgoing instrument was acknowledged before me
this iiE(-t" t3c1Z— by
The forgoing instrument was acknowledged before me
thisZ'�dayof 1)ZS"#3t"yk-- 20-9 by
—dayof .20-4
Name of person aking statement
Name of person aking statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of ification
Type of Identification
Prod ed
Produced
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Notary Public-
ature of Notary Publi
�� Notary Public State of Flodd
►sR"c� Notary Public State of Florida
Commission No. F Z3 (:t�orySMUM
My Commission FF 232514
C mission No. G"IyAKraum
My Commisslon FF 232514
Expires 03f1912019
®two' Expires 05N912019orw
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REV. -
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
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