HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
I
Date': -W Permit Number: en
RECEIVED
Building Permit Applicatior SEP 0 6 2018
Plan I ning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Comm , ercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line WANNED
I
Legal Description: 33 35 39 THAT PART OF W 1/2 OF SW 1/4 OF NE 1/4 LYG S OF CANAL 71 -LESS E 206 FT AND LESS RD RIW- (2.86 AC) (OR 3370-745)
Property Tax ID #: 2333-133-0001-000-5
Lot No.
Site Plan Name- —45-4 A Block No.
I
Project Name: PERCY
I
Setbacks Front i5- Z. Back: Right Side: Left Side:
BUILDING A BARN
CONSTRUCTION W; a
Addi.tional work to be nert . ormecl uncler
this permit — check
all apply:
E]HVAC DGasTank
F]Gas Piping
Shutters
Windows/Doors
Wli Electric E] Plumbing
7
[]Sprinklers
Generator
Roof Roof pitch
Total, Sq. Ft of Construction: 2880
S Ft of First Floor: 2880
Cost of Construction: $ 60,000
Utilities:11 Sewer 0Septic
Building Height:
":CONTRACTOR
Nam6 REBECCA PERCY
Name: k\tFxI oww )DVA(Us
Address: 11298 MULLER ROAD
City: I FORT PIERCE State: FL
Zip Code: 34945 Fax: 772-252-5285
Phon I e No. 772-579-3845
Company:
Address:
City: State:N_r1_
Zip Code: 511AIAS Fax:
Phone No.
E-Mail:
BECCA@INTEGCRETE.COM
Fill .i.Q
66 M�-'
fee simple Title Holder on next page ( if different
the Owner listed above)
E-Mail: com,
State or County License:
If val0e of construction is $2500 or more, a RECORDED Notice of Commencement is required.
i
SUPPLFMENT [. CC?NSTRUCTI0" EM
AIN�IN'Fad,
ATION FR,
...
�� rv, ,� nh
:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY:
✓Not Applicable
_
Name: M\ChC►&\ O\-
Name:_
Address: \1U
Address:
City: State';�'L
Zip: 3x*,50 PhonerlfQ-1 1 0- (\r\ \
City: -
Zip: Phone:
State:
FEE
SIMPLE TITLE HOLDER: ✓Not Applicable
BONDING COMPANY:
1/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
rnmmonrino %Ainrk nr rarnrrlina vniir NntirP of CnmmPnrPment_
Signature of Owner/ L se /Contractor as Agent for Owner
Signature of Contracto L tense Holder
STATE OF FLORA a
a
STATE OF FLORIDA
COUNTY OF � �i�L
COUNTY OF b`t •(,y
-G�
The Ifor oing instru ent was acknowledged before me
The foXing instru ent was acknowledged before me
day 20' by
this ay of b y
this4 of
Name of person making state tr co ✓
Name of person making statement `
Personally Known OR Produc gngfiatro
Personally Known OR Produced Iden fgava%�o
Type of Identif' ation Q.2 CDo
Type of Identifi atjon Q ; o
Produced - - c� a z
Producelry-�
w o
LU
oEE�
oa.EE2
�o O U c
,`v E o a
( ignature of Notary Public- State of orida) -E m
(Signature of Notary Public- State of Florida z " Z. m
Commission No. �f,Ln �agk�� ;�` soLL_
Commission No. ii l (ea ,�•, a=-
o:
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MAN R VE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17