HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE (INFO MUST BE COnnt;L_: _J FOR APPLICATION TO BE ACCEPTf u
Date: l�d `Z�1' Permit Number: 0 ��
I �
Mal RECEIVED
Building Permit Application OCT 2 9 2018
Planning!and Development Services
Building and Code Regulation Division ST. Lucle County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Shed site built SCA
NNEU
BY
PROPOSED IMPROVEMENT LOCATION: St Lucie County
Address: 1 9303 S Indian River Dr, Ft Pierce, FL 34982
Legal
n: 19 36 41 S 175.88 Ft of Govt Lot 2 LYG E of FEC RR RM- Less Rd RMl- (2.48ac)(OR3983-250)
Property Tax ID #:
Site Plan Name: _
Project Name: _
3519-414-0002-000-7
Setbacks , Front 3`�5 Back: 90
O Right Side: a5 Left Side: 98
DETAILED DESCRIPTION OF WORK:
52x43 Enclosed Garage on ****NO ELECTRIC - NO PLUMBING****
co n+i h 0 US -Ft o`!-2 Y- w/ b SlA b
i
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Add itiona I work to be nertormed under this permit — check a apply:
0HVAC Gas Tank Gas Piping Shutters Windows/Doors
I
Electric ❑ Plumbing Sprinklers Generator Roof 3/12 Roof pitch
Total Sq. Ft of Construction
2,236
Cost of Construction: $ 36,440
i
Sq. Ft. of First Floor: 2,236
Utilities:Sewer USeptic Building Height:
OWNER:/LESSEE:
CONTRACTOR:
Name Patrick Hartman
Address: � 9303 S Indian River Drive
Name: James Player
Company: Carports Anywhere
City: Ft Pierce State: FL
Zip Code: 34982 Fax:
Phone No (d11) 14G —lSa4
Address: PO BOX 776
City: Starke State: FL
Zip Code: 32091 Fax: 352-468-1113
Phone No. 352-468-1116
E-Mail: !kaT rfwiarl Md Q gma;(, coo\
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: Jbpermitsfl@gmail.com
State or County License: CBC1251995
I If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. \I
I
SUPPLEMENTAL CONSTRU IEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: � Mou "� 59JLA4 w
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 11(00 Widq e. god
Address:
City: 6 6TO—AState: f L
City: State:
Zip: 132120 Phone
Zip: Phone:
FEE SI1 PLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: I
City:
Zip: Phone: r
Zip: I Phone:
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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 inspe Ion. If you intend to obtain financing, consult with lender or an attorney before
commen'cine work or/ecordine vour Notice of Commencement.
Sig atur ' of Own -at' Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
j
ST E OF FLORIDA
STATE OFFLORIDA
d
COUNTY OF Rr�,clforol
COUNTY OF Yuu,WOf
The forgoing instrument was acknowledged before me .
this YI !day of /0 , 20 9 by
The forgoing instrument was acknowledgedbefore me
this TL day of �� . 20 / by
� )I m i c lc JAOV +ryg2)
I-Mu2s P( Ly Qk '
,Name of pe so makindstatement
A
Name of pe s making s atement
Personally Known � OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Prod ced
Produ d
(Signature
of Notary Public- State of Florida)
(Sig-nTAure of Notary Public- ,t!t�of Flor u. gT�Rl
Commiss
on No. GG QMkff •'::`�'�40ea!) SIERRATERRELL
Commission No. 18,2M
* C001171ssbn8000398
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Exphs October 18, 2020
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DATE
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DATE '
COMPLETED
Il I
tev. 8/2/17