HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLIC'J�/BCEINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: LQ Permit Number:
--" RECEIVED
Building Permit Application DEC 0 6 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300Virginia .Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
III PERMIT APPLICATION FOR: Building III
LOCATION:
Address: 6905 S Indian River DR Fort Pierce, FL 34982
Legal Description:
OLMSTEAD PLACE SID THAT PART OF LOT 1 MPDAF. FROM INT OF S LI LOTi AND VVLY RIW INO RVR DR, TH VVLY ALG S LI OF SD LOT 1 45 FT TO POO.
TH CONT VVLY ALG SD S LI 78.55 FT. TH N 83 DEG 121AIN 10 SEC "E 44.60 FT, TH S 81 DEG 14 MIN 31 SEC E 34.67 FT TO P0a AND ALL LOT 2 (1.87 AC) (OR 2760-2689)
Property Tax ID #: 3412-502-0002-000-9 Lot No.
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side:
Left Side:
Block No.
I DETAILED DESCRIPTION 'OF WORK: - - _ ill
-22x48 Detached Garage on footeres NO CONCRETE
****NO. ELECTRICAL - NO PLUMBING""
CONSTRUCTION
_) Gas Tank UGas Piping
❑ Plumbing []Sprinklers
BY
St, Lucie County
Shutters. Q Windows/Doors
Generator 0 Roof = Roof pitch
Total Sq. Ft of Construction:'_3 (0 96 S Ft. of First Floor:
Cost of Construction: $ Iq,2 2 s Utilities:Sewer Septic Building Height: APPRox 19'
,OWNER/LESSEE:.
CONTRACTOR:
Name Forest W Blanton, Kathryn F Blanton
Name: James Player
Address: 6905 S Indian River Dr
Company: Carports Anywhere
City: Ft. Pierce State: FL
34982
Zip Code: Fax:
Phone No. (954) 205-8105
Address: PO BOX 776
Starke °`` FL
City: State:_,
Zip Code: 32091 Fax: 352468-1113
Phone No. 352468-1116
E-Mail:
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
IIIf value of construction is $2500 or more, a RECORDED Notice of Commencement is required. II
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DESIGNE ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: Fronde Engmee,ms
Name:
Address- 44 16T=1=1Treo STE# 014
Address -
city. 1P.Ica State: FL
City: State:
Zip: sseso Phone
Zip: Phone,
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City.:
City:
Zip: Phone:
Zip:' Phone:
CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and Installation as Indicated.
it no work or installation has commenced prior to the issuance of a permit.
onityy makeno representation that is granting a upermit will authorize the ermit holde to build the subject structure
mnflict wit}sr any applicable Home Owners Association rules, bylaws or angcovenants t at may restrict or prohibit such
lease mnsuk with vour Home Owners Association and review vour 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
cnmmanrinrr work or rprordin2 vour Notice of Commencement.
Sipaturb of Owner/ Lessee/Contractor as Agent for Owner
I
Signature of CoMractor/Ucense Holder
STATE OF FLORIDA
COUNTY OF _ lA CAA
COUNT
OUNSTATTYOFFORIDI�
-
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The forgoing instrument was acknowledged before me
The fo oing Instrument was acknowledg efore me
this-2LVayof gLa6i4s 20_Llrby
thisdayof �' 20 by
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Name of person making sty ,..•••..��/�A
�' 'd
Name of pe n aking tement
Produced Identification
Personally Known OR Pr�3u i,1j' _ rn
ersonally Known o< OR
Type of Ident ication = �� %-
15ype of Identification
tsoduced_
Produced y Comm: Expires
; November 15, 2020.
No. GG 47679V)
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(Signature tip ary Pubg rida )
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[REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17