HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/03/2018 scANNED Permit Number: O Q q
BY
- ..�•, �. L,IACBe®OJl�llti" RECEIVED
•
Building Permit Application JUL 1.2018
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie county
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential �X
PERMIT APPLICATION FOR: DAVID FORGET
j PROPOSED IMPROVEMENT LOCATION:
p Address: "TBD" SEMINOLE ROAD FORT PIERCE, FL 34951
26 34 39 NE 1/4 OF SW 1/4-LESS N25 FT AND LESS E 80 FT FOR CANAL AND LESS S 50 FT OF N 75 FT OF W 575.1 FT OF E 3551.,FT
Legal Description:AND LESS W 467 FT OF S 442.5 FT OF N 467.5 FT OF W 1042.1 FT OF E 1122.1 FT AND LESS FROM NW COR OF NE 114 OF SW 1/4 ,;
RUN SLY ALG W LI OF SD NE 1/4 25 FT TO POB, TH CONT SLY ALGSD W LI 512.5 FT, TH ELY 2237.35 FT M/L, TH NLY 512.5 FT, TH
WLY 236.80 FT TO POB (30.07 AC) (OR 3754-482)
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Property Tax ID #: 1326-310-0000-000-6
Site Plan Name: FORGET SECURITY RESIDENCE
Project Name: FORGET FARM USE SECURITY BUILDING
Setbacks Front Back: -3T . _--Wdt %de:
Left Side: -le" —), — r
Lot No. N/A
Block No. N/A
'jDETAILED DESCRIPTION OF WORK:
INSTALL AND SETUP OF A SECURITY FARM USE BLD (30' X 60' MOBILE HOME) WITH ELECTRICAL,
MECHANICAL, AND PLUMBING HOOKUPS.
(CONSTRUCTION' INFORMATION:
itiona .wor to be performed under this permit- check all that apply:
p FAC HVAC [_]Gas Tank ❑Gas Piping ❑Shutters ❑Windows/Doors
FXJ Electric Plumbing ❑Sprinklers ❑Generator ❑Roof Roof pitch
�Total Sq. Ft of Construction: 1800 Sq. Ft. of First Floor: 1800
lost of Construction: $:2,400.00 Utilities: _ Sewer OSeptic Building Height: 15'
OWNER/LESSEE:
CONTRACTOR:
Name
DAVID FORGET
Name: CHARLES P. ROGERS
Company: PALM HARBOR CONSTRUCTION
ddress: 3195 SEMINOLE ROAD
jty: FORT PIERCE State: FL
Address: 605 S FRONTAGE ROAD
(lip Code: 34951 Fax: N/A
City: PLANT CITY State: FL
IIhone No. 772-979-3335
Zip Code: 33563 Fax: 813-759-2065
E-Mail: KFORGET10@GMAIL.COM
Phone No. 813-717.9841
F
in fee simple Title Holder on next page (if different
E-Mail: ALLFLPERMITTING , OL.COM
f
III
r m the Owner listed above)
State or County License: IH1025311
of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: �(, Not Applicable
BONDING COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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
commencing work or recording vour Notice of Commencement.
s
Signature of Owner/Lessee/Contractor afAgent for Owner Signature of Contractor/License Mder
STATE OF FLORIDA 1 I I STATE OF FLORIDA
COUNTY OF 1 1 `S COUNTY OF
The for oing instru nt was acknowledged efore me The forgoing instrument was acknowledged before me
this day of 20 �by this .day ofn 20 by
�Inc ��es `-P � (� � C VvaA f.5 �p�p Ks.(Name of -person acknowledging) (Name of person acknowledging)
all -
(Signature of Not ry Public- State of Florida) (Signature o otary Public- State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced AYPI±�_KITINA A RI OOM =o
W COMMISSION # GG 071106
Commission No. * - *(S �ES;February25,2021
O
9TFOF F�O�\ Bonded Thru Budget Notary Services
Revised 07/15/2014
Personally Known ----OR Produced Identification
Type of Identification Produc dP; utTim A BLOOM
1 Zo�,o..,i�
' NIY COMMISSION # GG 071108
Commission No. j o EXpIRI&,qW�ary25.2021
9rFOF p�oP�Bond®d T11ru Budget Notary SeMCes
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVI REVIEW REVIEW REVIEW
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