HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONJ
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ALL APPLICABLE INFO MUST -BE CCOMPLETED FOR APPLICATION TO BE ACCEPTED
Datek Permit Nu ber: 0�
,�. RECEIVE®
Building Permit Applicati n NOV 16 2018
Planning and Development Services
BuildingandCode Regulation Division Permitting Department
2300I Virginia Avenue, Fort Pierce FL 34982 11 C:�p 0 U n t FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Tltlaf yr
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Yr5.3 ti
PROPOSED IMPROVEMENT LOCATION:
Address: 7003 S Indian River DF. Fort Pierce 34982 _
Legal Description: OLMSTEAD PLACE S?D LOt 7 (or3997-814) SCANN50
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Property Tax ID #: 3412-502-0008-000-1 �I LULIC �+U Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back-.--- Right Side: d f Left Side:
New Storage Building C�'2J 11 0 lJ T-KktC-rl 0 %l 1 ��-�- 1-�-�•
�v` ►' 1
Total Sq. Ft of Construction: 2680
Cost of Construction: $ 7y s®o
ing LJ Shutters
ars ❑ Generator
S Ft. of First Floor: 26E
Utilities:cn Sewer Septic
RV( Windows/Doors
0 Roof 5�12 Roof pitch
Building Height: 14
01NNERAESSEE
CONTRACTOR:"
Name Daniell Fitzpatrick
Address: R DtAIVACCI
Name: Derrick Gale
Company: Gale Construction
Address:
City: `.` State: rr!
Zip Code: Fax:
City: P L Stater
Zip C de: Fax:
Phone No. (— e7 C - U
E-Mail G�-V-�'F'1�Du,� ► c cyc� �'(x _�
Fill in fee simple Title Holder on next page (if different
Phone No.
E-Mail: Do rrjCk C.o /1'
from the Owner listed above)
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
A
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATIQN
DESIIGNER ENGINEER:
Name: ` r'
Address- WIZ, Z Lo-covA
_ Not Applicable
131"k
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
City: OP M State: _I
Zip: Phone 3-773) T
I
FEE SIMPLE TITLE HOLDER:
Na le:
_ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Address:
City:)
Zip: Phone:
I
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.
I
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 accrdance 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 inspectia�qq If you intend -to obtain financing, consult with lender or an attorney before
comrnencin2 worhoKrecdrdin2 vour Notice of Commencement /I
I
Sig, ature of 0w� er/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORI
�� lNlPA
STATE OF FLORIDA < 4- P _ ,
COUNTY OF
COUNTY OFl`
The forgoing instrumen was acknowledged before me
The forgoing instrument w s acknowledge before me
this 3 day of 20(9 by
this _L5� day of 20M by
Wn
ck
1d F b'" 'P nC L
[ L IQ/
Name of personma ing statement
Names person making statement
Personally Known V OR Produced Identification
Personally Known OR Produced Identification_
Type of Identification
f
Type of Identification
UrQ(A
Produced
I
Produced
•-
AA
(Signature of otary Public- State of Florida)
-(Signature of Notary Public- State
Mae, I
( al)
Com' SSN� " KAREN LIBR� __,My
.) Notary Public - LE(
E `� J"`� ' � °
Commission No. CIAO ANTONIO GALLSta
COMMIS51UN
EXPIRES: July 10, 2019
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�'.;9rF ���� My Comm. Expires
I
REVIEWS
FRONT
ZONING
i
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
t
RECEIVED
DATE
COMPLETED
tev. 8%2/17
5, 2019