HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE 'COMPLETED FOR APPLICATION TO BE ACCEPTED I ��
Date: 0 —�' tom_ Permit Number: I 0
RECEIVED
Building Permit Application
Plan �ningand Development Services OCT 0 4 20�8
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Perry
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ReSidentia _
PERMIT APPLICATION FOR: Shed site built e _ _
PROPOSED IMPROVEMENT LOCATION: �y —�
Address: JV3 Oleander Ave, Ft Pierce, FL 34982 St Elude County
Legal Description: 09 36 40 S 1/2 of SE 1/4 of NE 1/4 of NE 1/4- Less S 165 ft of E297 ft- (3.78 ac) (OR 3520-2768)
Prop irty Tax ID #: 3409-114-0004-000-2
Site Plan Name:
Lot No.
Block No.
Project Name:
Setbacks Front Back: �>� Right Side: % Left Side• p2�g�
DETAILED DESCRIPTION OF WORK:
20x46 Encl Main Building & (2) 16x40 Encl Lean-To's on Concrete De"e1 G ` Cl
****NO ELECTRICAL - NO PLUMBING****
CONSTROCTION INFORMATION:
ACIC11tional work to e nerformed under t is permit — check a apply:
❑'IHVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
❑IElectric ❑ Plumbing ❑Sprinklers ❑ Generator ❑ Roof 3/12 Roof pitch
Total Sq. Ft of Construction: 2,080 S . Ft. of First Floor: 2080
Cost of Construction: $ 31,490 Utilities. _ Sewer ❑Septic Building Height: 17.3
'OWNER/LESSEE;
CONTRACTOR:
Name
Nicholas Tubito
Name: James Player
5405 Stately Oaks St
Address:
City: I
Company: Carports Anywhere
Address: PO BOX 776
Ft Pierce State: FL
Zip Code:
34981 Fax:
City: Starke State: FL
Phone
No.
Zip Code: 32091 Fax: 352-468-1113
:
E-Mai
Phone No. 352-468-1116
simple Title Holder on next page (if different
E-Mail: jbpermitsfl@gmail.com
Fill in fee
from ie
Owner listed above)
State or County License: CBC1251995
If valuelof construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: °
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name: J
Ad�ress: 2'Fb_&X1-7fo
Address:
City: Starke State:
city: State: PL
Zip `120G 1 Phone 35-1140V (l/(.e
Zip: Phone:
FEE
SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name,
Name:
Address:
Ad�res�-
City:
City:
Zip: Phone:
Zip: Phone:
ER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
y that no work or installation has commenced prior to the issuance of a permit.
le County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
ire. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
;ideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
rdance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
lowing building permit applications are exempt from undergoing a full concurrency review: room additions,
)ry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
VING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
ivements to your property. A Notice of Commencement must be recorded and posted on the jobsite
e the first inspection. If you intend to obtain financing, consult with lender or an attorney before
iencing work or recording our Notice of Commencement.
Sign ture of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder.
STATE OF FLORIDA 1 G�)
STATE FLORID vA r^ ��
'j''l)
COUNTY OF I_lJ�
COUNTOY OF
The forgoing instrum t w s ack(�owledg d before me
this day of I 20� by
The fing instr e t was acknowledgec,before me
thisday of 20_Z by
Name of person making statement
Name of persT making statement
Personally
Known OR Produced Identification
Personally Known OR Produced Identification
Type
_
of Identification
Type of Identification
Produced
Produced
(Signature
i
of N ary Public- State of Florida)
(Signature Notary Public- State of Florida )
I f
SIERRA7ERRELL
Commission
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SUPERVISOR
PLANS
REVIEWS
FRONT
ZONING*
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DAT
CO
, PLETED
tev.8/2/17