HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
DIIIte: --� a31\k scANNE® Permit Number: Yi d ���
�� BY RECEIVED
at. Linos County
JUL 2 3 2018
lIII i. Building Permit Applicatio
ST. Lucie county, Permitting
Plannng and Development Services
Building and Code Regulation Division
236o Virginia Avenue, Fort Pierce FL 34982
Ph'ilne: (772) 462-1553 Fax: (772) 462-1578 . Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Addr lss: 16101. C.4RLTON AORIy1S ROftb.. FT PIERCE FL. 34-946
LegailDescription: Luke's Lots (PB 41-4) Lot 10 (7.554 AC) (OR 3599-254)
Site
Set
y Tax ID #:
In Name:
Nam
2236-700-0010-000-3 Lot No.10
Block No.
I!I
DETAILED DESCRIPTION OF WORK:
Instal
grour
**NO
2 detached accessory structure with free standing lean to of 12x40x9 01K
CITY**NO PLUMBING**
CONSTRUCTION INFORMATION:
Additional Ilworkto e ne orme under is permit —check a apply:
vAC [I Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
O1'
E�ectric 0 Plumbing ❑Sprinklers 11 Generator Z Roof 3/12 Roof pitch
Total S IIII Ft of Construction_,4'80
Cost of�onstruction:_$ 4,215.00
S . Ft. of First FI r: 480
Utilities:Sewer Meptic
Building Height: 12
m
OWNER/LESSEE:
CONTRACTOR: Contractor
NameL%1VD4 IyEFFREY KEEQqAl
Name: doWES PLAYED
Add ressj,I16/01.C4R.4rON ALWA4S RO.49-b
Company: Carports Anywhere
city: FiT PI EAe E State: FL
Address: FO BOX ??(o
Zip Cod "I: 3494- Fax:
City: cST.4RRE State: FL
Phone N772.Of 10
Zip Code: 3=91 Fax:)AIS-1113
v
E-Mai �� an �d17` �—-*7&)Ma;hL,
r
Ift one No
_
Fill in feelsimple Title Holder on next page (if different
E-Mail: .�
from the lllOwner listed above)
State or County License: 1 i975-
If value of1'construction is $Z500 or more, a KtcuKutu Nonce or Lommencemeni is requucu.
{� k• '$, p3 '�+;.` y�
S`UPP�lEiMIENTAlLICONSTR�U
S 4�k
dION LIEN LAW fNFORMgTI,ONE r
e _
DIESIGNER/ENGINEER: Not -Applicable.
MORTGAGE COMPANY:
Not Applicable
_
NName: Bechtol`Engfneeringand Testing
Name:
dress! 605 West New. York Avenue
Address:
Ci'�lty: Deland State: FL
City
State:
Z
ip. 32720 Rhone
-
Zip.. -... __ ...Phone;_
FEE SIMPLE TITLE HOLDER:
'
BONDING COMPANY:
_Not Applicable
;�/I�o-.Applicable
Name,
Name:
A d
Address
.
City:
�ress �.. -_.. ......... _
CI
Zip: Phone:
Phone:
H11,1
O, NER/ CONTRACTOR AFFIDVIT: Application 'is hereby rnade to obtain a permit to do the work.and installation as indicated.
I .ce rI ify that no work or installation has commenced prior to the lissuance of a permit.
St. L�cie County makes no representation that is granting;a permit,wlll authoriie:the perrtiit holder to build, the subject structure.
which is in conflict with.any applicable Horne owners Association rules, bylaws or:and covenants. that may restrict or prohibit such
stru ture. Please consult withyour 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 allrespects, perform the work
in:ac9rdancewlth.the approved plansi.the Florida•Building Codes•and St. Lucie'CountyAmendments.
The following building permit applications are exempt -from undergoing a; full concurrency review:.room additions,
accessory structures, sw.immIng pools; fences, walls, signs, :screen,rooms and accessory uses to another nan'-residential, use
WARNING TO OWNER Your failure to Record a Notice of Commencement may result in your paying twice -for
impi,iovements.to-your property..A Notice. of ;Commencement must.be recorded. and.po ted on the jobsite
before the first inspection. If you intend to obtain financing; consult with lender.or an attorney before,
rnmiYtpnrrr►a wnrk nr rPr edino vnnr.Nnt re nf'Cnmmeneement_ n
iSgn"A
�ature of O er/ILessee/C ractor as AgentforOwner
Slgn, :ur , of. Contractor/License Holder
STATE OF FLORIDA'' LL
S.T T OF FLORIDA.
COUNTY OF
CO, TY OF'Bredrord
II
The r oing instt assent was acknowledged before me..
thi °, day of S w Ol e, , 20� by
The, forgoing instrument was acknowledged before.me
this. day of . C1 vs.Y _, 20 by
Q� a
James -Player
it Name .o person making statement
Name.of person making' statement
Pers "nally Known OR Produced Identification
:. Personally Known x OR Produced lderitification_
Type of Identification
Type of Identification
Prod ced._
Produced
(Sign ° ; r�gcjta.Ite of Florida
(Signature 11110
zqt .g s
s : a= Commission # GG 116390
I ,_�WAR �� (Seal)'
ate Of Florida
((�q eCom
Commi5MOFF s127T ai)Bondad
RM,
Thru 7ro Feln Ineurence 000.386.701819
REV�WS
FRONT.
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
R^,ANGROVE
COUNTER
REVIEW
REVIEW,
REVIEW
REVIEW
REVIEW
REVIEW,
DATEJ',
pp
1�
3(3(
RECEIVED
I8
DATE
COMPLETED'
3eV. 8/2%17