HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ,1 Q-A Permit Number:SCANNED e
BY �$01'0 day
RECEIVED
Building Permit Application JUL 2 4 ?,013
Planning and Development Services
Building and Code Regulation Division S%Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Other
PROPOSED IMP.R'OVEMENT LOOATION
Address: It Te-e e_ Tod. T-rc, , �f. eicec.e , �� 3Y9S1
Legal Description: 18 34 40 S 112 OF NE 1/4 OF SW 1/4 OF SE 1/4 OF NW 1/4-LESS E 30 FT- (1.16 AC) (OR 2109-794; 3718-1792)
Property Tax ID #: 1418-243-0010-000-6
Site Plan Name: Wetmiller Stalls
Project Name: R17106-Z
Setbacks Front-1 85' Back: 105,
Right Side: 110' Left Side: 25'
F,+
DETAILED DESCRIPTI ,N :OFWORK:'
Horse Stalls with Concrete walk
aX- -�<.r a-'K t qc-�
Lot No. 8000
Block No.
CONSTRUCTION INFORMATION. ' .
Additionalworktoberiartormed under this permit — c ec a apply:
11HVAC0 Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
0 1 /4:12
Electric Plumbing Sprinklers Generator � Roof Roof pitch
Total Sq. Ft of Construction: 360
Cost of Construction: $ 5000
SCI. Ft. of First Floor: 360
Utilities: Sewer E]Septic
Building Height: 9'
OWNER/LESSEE:' :.
CONTRACTOR
Name i Cr i G �Ief—', H2
Name:
Address: 9811 Tree Tole Ti
Company:
City: Fort Pierce State: FL
Address:
Zip Code: 34951 Fax:
City: State:
Phone No. 772-696-2748
Zip Code: Fax:
E-Mail: ewetmill@hotmail.com
Phone No.
Fill in fee simple Title Holder on next page (if different
E-Mail:
from the Owner listed above)
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
II
l
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: Michael) Seal
Name:
Address: 606 Delaware Ave
Address:
City: Fort Pierce State: FL
City: State:
Zip: 34950 Phone 772-4607-759
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: 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 our Notice of Commencement.
Signat4Ke of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF _-'Z' k, L
COUNTY OF
The for oing instrument was acknowled of before me
V �y
The forgoing instrument was acknowledged before me
this day 20_ by
his tday of 20by
of ,
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced '51%. b L-
Produced
(Signature of NotaryPublic- Statepfflolida=°��
(Signature of Notary Public- State of Florida
€' D`NNgptU.RIE GG 022021 i1
Commission No.YCOMtrII(�"l
Commission No. (Seal)
t e EXPIRES: Dccemb2 96. • I
gond ihruNotaNPublicUnden�rilc'
ed
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17