HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
ALL APPLICABLEINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: W'bllo 35K, r Permit Number: -oc
9W
Building Permit Application
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
PERMIT APPLICATION FOR: Building
PROPOSED°IM!P-ROVEM'ENT LOCATION f
RECEIVED
SEP 0 4 2018
ST. Lucie County, Perrtilttl
Residential X
Address: 911al Mikik kwe F+Aer2f- I74, 9WVo?-
Legal Description: Indian River Estates -Unit 07-Blk 49 Lots 6 and 7 (.46ac) (Map 34/02S) (Or 3256-253:3258-1376)
5112 Myrtle Drive, Ft Pierce, FL 34982
Property Tax ID #: 3402-608-0308-000-8 Lot No. 6 & 7
Site Plan Name:Block No. 49
Project Name: mil( V LA LU
Setbacks ' Front IIA Back:
Right Side: � �I Left Side: 11)
6-14K,5j &I W
Detackh�edfarport on Ground *****NO ELECTRICAL --NO PLUMBING*****
ggil"tee O-D'5 12n35x /2
11HVAC
11 Electric
"Shutters
0 Plumbing Sprinklers EiGenerator E]Roof 3 12 Roof pitch
Total Sq. Ft of Construction:
1,330
Cost of Construction: $ 11,060
QWindows/Doors
1-1
S . Ft. of First Floor: ou
Utilities: M Septic Building Height: 18'6"
OWNER/LESSEE:
CONTRACTOR` °' `
Name 6ebYlnj_
Name: TaM-e-3 PIaU-er
Address:_j�.-. %IfC,�P-�
Company: Carports Anywhere, Inc.
City:- R ►ier&e. State: FL
Address: p. o.
Zip Code: Fax:
City: N-airke State: FL
Phone No.
Zip Code: 32091 Fax: 3,5a- 09 -1I 13
E-Mail:
Phone No. 352-468-1116
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
kSUPPLEMENTAL4C04STRUCTION LIENrLAWa°INF0R',MIATIONy
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name: Matthew T Baldwin PE
Name:
Address: 11s0 PNIa Road
Address:
City: Deland
State: FL
City:
State:
Zip: 32720 Phone 388-717-8578
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: ure to Record a Notice of Commencement may result in your paying twice for
improvements r perty. A Notice of Commencement must be recorded and posted on the jobsite
before the ' st inspe ion. If you intend to obtain financing, consult with lender or an attorney before
commen ine work r recording vour Notice of Commencement.
Signature Own ee/Con or as Agent for Owner
Signatu f Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORID
d
COUNTY OF
COUNTY OF i9ra d f ds(
The forgoing instrument was acknowledge before me
this � day of �M (Y , 2016 by
The for oing instrument was acknowledged before me
this � day of uQIU—* . 20A by
�eR i Leh Kr q
T'o�l' e3 PI
Name of person making statement
Name of person jnaki g statement
Personally Known �OR Produced Identification
Personally Known V OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of NottP�ljl
,State of BD(QN. QECICCO
(Signature ari(,rblic- Stat����
NOtiry publicState of FloridaCommission
No.:
•l Coetmisit ml# FF 938216
Commission No
My Comm. Expires Jan 29, 2020
''eOFi •�
+.E c� erdoes
of a
I'ronde0 through National Wary Assn.
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DATE
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DATE
COMPLETED
Rev. 8/2/17