HomeMy WebLinkAboutbuilding permit application 7-19-18r
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►LL I PPLICABLE INFO MUST BE COMPLETE'-,.-JR APPLICATION TO BE ACCEPTED -
Da'Ile. SCANNEd- ermit Number:
BY
r t. Lucie County 7//4// 8 4s
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Building Permit Application pe It.,"Cift
Pla ��ing and Development Services St�tUng
Buil ►ng and Code Regulation DivisionId
2306 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PER ,MIT APPLICATION FOR: Building
PR6POS D IOMPOkOVEIUIEEjNT LOC�A�i�o;N
Add
Legal
8680 Hidden Pines Road, Fort Pierce FL 34945_
Aption: Hidden Pines Estates Blk A Lot 12 (1.00 AC) (OR 3412-1797)
Prope °' Tax ID #: 2323-701-0012-000-7 Lot No. 12
Site Pla',I Name: Block No. A
Project Name: jN V
Setbac i Front 230Back: 30' Right Side: -85' Left Side: 35'
DETAIMORil: t.
Install enclosed 30x31x30 detac a garage on concrete,
**NO ELECTRICITY**NO PLUMBING** 1ffV5-,037q Slab � •�
CONST ',CTLON' I{NiF®R)M►ATIO;N:
►tion l workto a er orme un er t is permit — check a apply:
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IIn
HV C _Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
❑ Ele I�Itric ❑ Plumbin Sprinklers Generator Roof 3�12 Roof itch
g ❑ P1:1 P
Total Sq. Ft of Construction: 900 S . Ft. of First.Floor: 900
Cost of Coll struction: $ 4995.00 Utilities: Sewer OSeptic Building Height: 10
OWNIER';, LESSEE:
GOiNTR�ACTQ,R:
Name Edwina Markowski
Address: 8080 Hidden Pines Road
Name: James Player
Company: Carports Anywhere
Address: PO Box 776
City: Fort Pierce State: FL
Zip Code: 0b4945 Fax:
Phone No.1P72) 359-7393
City: Starke State: FL
Zip Code: 32091 Fax: (352) 468-1113
E-mail: km�ntgomery2010@yahoo.com
Fill in fee si�rnple Title Holder on next page ( if different
Phone No. (352) 468-1113
E-Mail: jbpermitsfl@gmail.com
from the O1ner listed above)
i'�
State or County License: CBC1251995
IT vaiue or construction is $Z5oo or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW MFORMATIOM.
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
N me:SEC.Ta emAiNEMN6 4TEGrIN4
_
Name:
Address:60G WEST NEVU YOB AVG-N E
Address:
Cii,y: DE.L4mb State: FL,
City: State:
Zi6:3?- Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
_
Name:
Name:
Address:
Address:
Cit
City:
Zip' Phone:
Zip: Phone:
ER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
j that no work or installation has commenced prior to the issuance of a permit.
le County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
ire. 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 f4owing building permit applications are exempt from undergoing a full concurrency review: room additions,
accessii ry 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
1.
commencing work or recording your Notice of Commencement.
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Signa'ure of Owner/ Lessee/Contractor as Agent for Owner
Signat r of Contractor/License Holder
STATE OF FLORID
STATE OF FLORID
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COUNTY OF ��6L(° I•
COUNTY OF
The fok oing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this. day of 20L& by
this 31 day of MAY 20 18 by
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UAMIES P1.6ii`�t%t>�
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1I Name of person ma!<ing statement
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Name of perso making statement
Personally Known OR Produced Identification
Personally Known X OR Produced Identification
Type o�j Idet ication
Type of Identification
Produced A it-10 ��
Produced
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(Signa "re of Notary Pu liPIDpr'
(Signature of Nota 0,551, ill 011 1011,11;11'1;111
F. notary ublic - State of Florida
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Commission No. I�
My omm. Expires Oct 15. 202
��� Notary Public State of Ftoridp
Commission No Maria R Burjjfieal)'
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