HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI
ALL APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED y
Date: 'A 1`6 SCANWU Permit Number:
I,I0ipPriiaflt RECEIVED
Building Permit Applica ion- APR 19
Planning and Development Services
Building and Code Regulation Division i 'ST, Lucie County, Permltting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line 6,qx-f-
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description: 293641 W360FT OF 123.26 HOFS600.02FTLYG E OF ANDCONTIGUOUS TO ELY RAN FECRR AND N121
LOT 1, TH S 89 DEG 30 MIN W 350 FT, TH NWLY//WITH IND RN DR 100 FT, TH N 89 DEG 30 MIN E 350 F, I POB AND LE:
Property Tax ID #: 3529-233-0002-000-3
Site Plan Name: Pennell 1
Project Name: PENNELL , n, t d`�. j
Setbacks Front- ly lot Back: Right Side: �(
DETAILED DESCRIPTION OF WORK:
S 462.76 FT OF GOVTLOT 1 LYG E OF FEC RR -LESS BEG AT PT ON W BANK OF IND RN 35SAFT N OF 6 LI DOW .
IND RN DR RW-(2.38 AC) (OR'580-1079: 1G40-1409.THRU 1427:1274-2377:3503-2453; 4013-1652)
Left Side:
Lot No.1
Block No.
X�0DETAC ED GARAGE CA _0male!!t �` 4D OLf GJP'- ��r
I
**NO ELECTRIC NO PLUMBING*,
CONSTRUCTION INFORMATION:
itiona wor to e e orme under tispermit—c ec all, apply:
11HVAC E] Gas Tank E] Gas Piping _ Shutters ❑ Windows/Doors
Electric El Plumbing ❑ Sprinklers I q Generator Roof 2 2 Roof pitch
Total Sq. Ft of Construction: 1248 S . Ft. of First Floor: 1248
Cost of Construction: $ 27782.75 Utilities:n Sewer W1 Septic Building Height: 19.8
OWNERAESSEE:
CONTRACTOR:
Name *ka-C_
Name: 5
Address: 1019 S. INDIAN RIVER DR.. FT. PIERCE, FL. 34982
Company: CARPORTS ANYWHERE
City: Pl- 't-'l1[xcQ State:FIL
Address: PO BOX 776
Zip Code: 33432 Fax:
City:&a"-P State: FL
Phone No. 954-856-6221
1
Zip Code: 32091 Fax: 3524681113
E-Mail:
Phone No. 3524681116
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
i
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: Not Applicable
Name: S
Address:
City: - State:
Zip:_t3Q-1ao Phone3V,_P `17U
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
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 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
rnmmenring work or recording vour Notice of Commencement.
S' ature of Own Les ee/Contractor as Age?'for Owner
Signature o Contractor/License Holder
STATE OF FLORI
STATE OF FLORIDA
BR,4bf-OPD
COUNTY OF
COUNTY OF
i
The forgoing instru nt wa acknowledged b fore me
The fgrgping instru�]eftwIas acknowledged before me
6!% L-
this day of 20�y
this day of �"l�Fu 201,? by
i
1L 0
OAMes PL-,qyft2
Name of person making statement —/
Name of per o making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identificationnl
Produced
Type of Identification
Produced
(Signs ur ot�G� �,}; ic- tate o a
'�"`
(Signature of - F o'i a
°��,'• ZARADADE N;QGE
`de MY COMMISSION H19
Commission :Q #(RF@7g
N.�a;
yYn Notary Public state_of,}}�� _ =
Commission N � Mari urgin" —
EXPIRES: March 20, 2020
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My Commission FF s1P775
of n Ezplres 08/25/2019
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Rev. 8/2/17 v