HomeMy WebLinkAboutBUILDING PERMIT APPLICATION4le
ALL 61 PPLICABLE INFO MUST BE COMPLETED))_, -A APPLICATION TO BE ACCEPTED —
Dat : 7`ti %��U Permit Number: _U 'oUv�
• By RECEIVED
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Building'ermii' Application JUL 31-1010
Plan l ing and Development Services Permitting Department
Build (�g and Code Regulation Division St. Lucie County
2300;Virginia Avenue, Fort Pierce Ft 34982 I
Phor",e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Addrel 17900 Wagon Wheel Lane, Ft Pierce 34987
Legal D scription: Carlton Country Estates (PB 46-29) Lot 4 (5.241) ac) (Or 3820-61)
1790 Wagon Wheel Lane, Ft Pierce
Property Tax ID #: 3211-701-0006-000-1 Lot No. 4
Site PIg Name: _ _ Block No.
Project ame: E:�(K?.1�—
Setbac Front_ Back:_ Right Side: q o Left Side:
DETAILED DESCRIPTION OF WORK: �
50A0 Detached Garage on Concrete
***N6 ELECTRICAL --NO -PLUMBING***
CONSTRUCTION INFORMATION:
0 H\
13 El(
Total Sq.
Cost li f C
L„j Gas Tank
*ic 0 Plumbing
of Construction: 3,000'
struction: $ 48,640
— cneCK a
Gas Piping
Sprinklers
Shutters
Generator
S . Ft. of First Floor: _
utilities: Sewer Septic
Windows/Doors
Roof 3:12 Roof pitch
3,000
Building Height: 16.6'
OWNERIrLESSEE:
CONTRACTOR:
Name', Ij nald Rancourt
Name: James Player
Addrell s: J,I18704 Tranquility Base Ln
Company: Carports Anywhere, Inc.
City: I Ft Oierce State: FL
Address: PO Box 776
34987
Zip Cdde: Fax:
Starke FL
City: State:
PhonelNo. '� (772) 240-9759
Zip Code: 32091 Fax:
E-Mail:
Phone No. (352) 468-1116
Fill in fee s pie Title Holder on next page ( if different
E-Mail: jbpermitsfi@gmail.com
from the O�rner listed above)
State or County License: CBC1251995
If value of copstruction is $2500 or more, a RECORDED Notice of Commencement..is requirea.
l
SIJ PLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: .
JDESIGNER/ENGINEER: _
Warr : Flor�d� n i eCr1Y1
Addl ess: 44511,9 r0iM1QMi
City I?br+ Chat'toft•e
Not Applicable
C
aiJ S /s1
State: V 6
MORTGAGE COMPANY: Not Applicable
Name;
Address:
City: State:
Zip: ?)";Oft Phone '
I
Zip: Phone:
FEE �IMPLE TITLE HOLDER:
Name:"
Not Applicable
BONDING COMPANY: Not Applicable
Name:
Addr ss:
Address:
City:
City:
Zip: Phone:
Zip: 11 Phone:
11
OWNS / CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certif4 that no work or installation has commenced prior to the issuance of a permit.
St. Luci ? 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 alccordance 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,
accesso structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARM G 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
common' cin work or recordine vour Notice of Commencement.
Signatu 'e of Owner/ Lessee/ ontractor as Agent for Owner
i
Signat of Contractor/License Holder
STATE QF FLORIDA
U' �=
STATE OF FLORIDA
Bra awovd
COUN OF S�-
COUNTY OF
The for II, ing instrumr�ent was acknowledged before me
thin 1 day of OW'S i 20` 5 by
The for oing instrument was acknowledg e before me
this a � day of T 20 3 by
�Name of person making statement
K
Name of person aking stat ment
Personal y Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced —I 4190--%
Produced
I�
(Signatur of Notary Public- State of Florida)
(Si a e of otary Public- State of Florida )
Arriel Campbell
Commissi n No. Fr-.l � NOTARY PUBLIC
GG�- Ito 5 4
Commission No. (Seal)
STATE OF FLORI
4� ;'P_&W' SIERRA TERRELL .
Comm# FF233777
*a * commlw(iii # GG 039654
REVIEWS
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ZONING
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SUPERVISOR
PLANS
VEGETATION
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S%XTURTLE�
MANGROVE
COUNTER
REVIEW
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DATE
RECEIVED''I
DATE J�
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COMPLETED
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Rev. 8/2/1