HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONti
ALL APPLICABLE INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: `1 �3 Permit Number:
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Building Permit Application ET
Planning and Development Services JUL. t� ' ^ a
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Res en Ia
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address:-/ to 10 1 C �R L.TO /\/ ,1 D*MS R0,41-6, FT PIE,,QCE FL 3¢995-
Legal Description: Luke's Lots (PB 41-4) Lot 10 (7.554 AC) (OR 3599-254)
Property Tax ID #:.2236-700-0010-000-3
Site Plan Name: kw(f m
Project Name: 0 (ice r N� 35.
Setbacks FrontBack:_[G 0c Right Side: Left Sid .
Lot No. 10
Block No.
I DETAILED DESCRIPTION OF WORK: I
Install enclosed 24x55x13 detached accessory structures on footers/concrete (customer permitting
concrete) %bC5_0A
**NO ELECTRICITY**NO PLUMBING**
I CONSTRUCTION INFORMATION: I
MUUMU1101 wUi K w ue enL)i mcu unuer una Nennu — aiecK du dpPlY
11HVAC _Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
Electric 0 Plumbing Sprinklers E] Generator ✓� Roof 3/12 Roof pitch
Total Sq. Ft of Construction: 1320 S . Ft. of First loor: 1320
Cost of Construction: $ 15,100.25 Utilities:0Sewer. Septic Building Height: 131
OWNER/LESSEE: CONTRACTOR: Contractor `
Name 41AIb l UEFFREY kE'E -44 Name:. 04/49 S FLAYM
Address: / b /0 / C4PL7"0N 4b. A4SR0RD Company: Carports Anywhere
City: ET PIERCE State: FL Address:' PD 80)(. 77(o
Zip Code: 3+915 Fax: City: 6TAAi2KE State: FL
Phone No.(772Q 41 S~ 1801 Zip Code: 3i3 209/ Fax: � 2� (08'/1�
E-Mail:, iKeegan(-Z dY1d.Q-an 1 M9;f C. Corn Phone No. 36:22
Fill in fee simple Title Holder on next page (if different E-Mail:, *X_E:�H_6 IPIA QMX1 C0177
from the Owner listed above) State or County License: C8 /?.SI9g5^
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
v
T, '5
DESIGNER/ENGINEER: Not Applicable.
MORTGAGE COMPANY:
Not Applicable:
Name: 59chtol.Engineedrigand . Testil . ng
Name:
,Add tess 605 West New York Avenue
Address:,
,City: Deland State,: _-FL
city.. .
-State,*,
,zip: 1? .. T;Q . Phone
Zip* Phone:
FEE SIMPLE TITLE HOLDER: ___VNot'Applicable
BON DING� COMPANY:
_3,!�Not Applicable
Marine:
Name:
Address,*.
Address: .
City-.,
City:
zip:, Phone,
Zip: Phone-
OWNER[ CONTRACTOR AFFIDVIT: Applicatioh.1shere4yimade to obtain a permit to do the work and iristalldtion,as indicated.
I certify that.no work or -installation - has commenced prior to the: issuance df,a Permit.
St. Lucie Cop . nty 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=Associatlon rules, bylaws or and covenants thatrnay restrict or prohibit such
structure. Please.consu It with your Home; OwneM Association andreview, your,cleed for any, restrictions which may apply.
. - Y".
Iricorlisideratibn of the granting of this.reclvesbE4 permit, I do hereby agree that'l Will, in all respects, perform thework
in accordance with the approved plans, the. Florida Building Codes and St. I Lucie County Amendments.
The following building permit -applications are exemptfrom undergoing,p full concurr.ehqy review- room additions,
accessory structures, swimming pools, fences,walls, signs, screen'rooms and accessory -uses to another non:residential use
WARNING TO OWNER: Yourfaifure toRecord a Notice of Commencement may result in your paying -twice for
Improvements to.yo-ur. property.A Noticie:of Cbm, mLsn.tbmOnt=mU*8t.bierL6t6,rd'ed And posted oh'thie jobs''ite
before the first inspection. If you intend to obtain financing; consult With, lender or, an attorney before
commencing;workor recordinugur Notice of Comrrlericeirnent;,
at. Agent for Owner
htra.ctof/Litense,
STATE OF FLORIDA
STYE OF FLORIDA
'COUNTY -OF, COUNTY OFBdf.Ta.
TheAdigoing iristcumerit Was acknowledged l?pfore me
th.ioday o0, U nC 20 /.Tby
Name of. e '.on making statement,
Personally ORIProduced. Identification
Type of Identification
Produced
(Signature,
`AT's Commission #1313115390
- *E r - —
ComirriKsio:n :ggires,ima 15, 2021.(Seal)
r
un�iedThruTivy Fain In5umno9800-386-7019
Th'e,f' oing insirumIryt was acknowledged before me
this3day6f rJOLY .26A by
James Player
Name ofve.rson making'statement
Personally Known X OR Produced Identification
Typo of-ide.ntification
Produced
5 .40
,Commission No. ). -�7 kA
Notary Public State of
mariaA Burglri(sei
Expires 08123/2019 _
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. 8/2/17