HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALLAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: aj Permit Number: L O z
RECEIVED ..
Building Permit Application IJEC. 0 6-2018
Planning and Development Services ,
Building and Code'Regulation Division SCANNED ST..LucieCounty,'Pemlitting -
2300 Virginia Avenue, Fort Pierce FL 34982 -- - BY - - - -
Phone: (772) 462-1553 Fax: (772) 462-1578 S'C6ttithT6941rity. Residential. X "
PERMIT APPLICATION FOR: Building _
I PROPOSED IMPROVEMENT LOCATION ' .` ' ' ` ' • ' - III
Address: 6905 S Indian River DR Fort Pierce, FL 34982
i
Legal Description:OLMSTEAD PLACE SO THAT PART OF LOT•1 MPOAF:'FROM INT OF.SLI LOTI AND VvLY RAN IND RVR DR.,TH WLY ALG S LI OF SD LOT 145 FT TO POS.
TI j CONT wLY ALG SD.S LI 78.55 FT, TH N 83 DEG 12 MIN IAEC E 44.60 FT, •TH S 81 DEG 14 MIN'31 SEC E 34.67 FT TO POB AND ALL LOT 2 (1.87 AC) (OR 276P2689)
Property Tax ID q: 3412-502-0002-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks 'Front '6ack:gEH Right Side:a�C'�I Left Side: '
DETAILED DESCRIPTION OF WORK:
30x61 Detached Garage on footers NO C6NCRETE
****NO ELECTRICAL - NO PLUMBING****
CONSTRUCTION INFORMATION;
rtiona wor to e e orme under tIs —checkpermit a apply:
[1HVAC E]Gas Tank E]Gas Piping SutiersfFA. ., Q
Windows/Doors
[]Electric - DPlumbing .. []Sprinklers _ �ator 'Gehe• G'%���Roof*
Roof pitch
.t nr. Lori . •, '.8
Total Sq. Ft of Construction: 1800 " S Ft. of First Floor:
Cost of Construction: $ 30,275 Utilities: Sewer, l 'Sgptic Building Height: APPROX 19'
OWNER/LESSEE:.
CONTRACTOR
Name Forestal Blanton KalH.fyA'F•Blanton
Y "''
;Name i , esplayeu,• J'•-.,^4' -
Address: 6906 S Indlj River; Dr z, ,
',;1;SIp _✓fN
'66 ari ? Carports+,Apgy vhere
P `%
,City: Ft. Pierce :'^^,r' a air .:vz Ar._+r a
Zip Code: 34982 Fax:
Phone No. , (954) 205-8105
° . s FL
"5ilat
r f: IROIOO 776
Address:
City: Starke . State: FL
Zip Code: 32091 Fax: 352468-1113
Phone No. 352-468-1116
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
Ir vame of construction Is W500 or more, a RECORDED Notice of Commencement is required.
x,:F'�.r r „ . ,. •,. r � ..
DESIGNER/ENGINEER: - _' Not Applicable
.-, f ,`{. . ,.,�ra� a F �' :,� „ .t a yr :.re ..�, e .. 'A.,.
MORTGAGE COMPANY: - - Not Applicable
Name: FloxdaEreinwno .
Name:
Address:
Address: '4666Ta n" W sTesai4,
City: PortchadoftD
State: FL
City:
State:
Zip: 339861 Phone
Zip:
Phone:
FEE SIMPLE TITLE HOLDER:
,_ Not Applicable •
BONDING
COMPANY:
_NofApplicabie
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 Counttyy makes no representation that is granting a permit will authorize the permit holderto build the subject structure
which is in conflict with -any applicable Home Owners Association rules, bylaws or ana covenants that may restrict or prohibit such
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 financings consult with lender or an attorney;before
commencine work or recordine vour Notice of Commencement.
Sign ure of Owner/ Lessee/Contractor as Agent for Owner
Signatq, f Contractor/Ucense Holder
STATE OF FLORID4
STATE OF FLORIDA _1
f�i!adr-oral
COUNTY OF r — r,�
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing Instrument was acknowledged before me
this
z
DCerrieir`.2o� by
..0111111111g.-1-5
mes Viaye r
Name of person making stat n \ I-ff/4 ' -
Name of person making statement
X
Personally Known ORPrc�Tt a ,
Personally Known OR Produced.identification
H
Type of Identification � 5 •• r /SHY ••.,
Type of identification
Produce d � ' '
:4roduced
r��
,FTIy Gomm. plres
;Noyember•15,2020;
- % No. GG 47679
-
(Signa otary Public- Sta�ey����1r,'" l Q
Signature of Notary Public -State of Florida)
•.JOUBL%;:••'• �Q
Commission No.C'�j9�pa1 '•••'• 0� `��
nR!P SIERRATERRELL
Commis ` Caiirt�SsPo idgw9ss4 (seal)
''�`'
9,oQ: 6abaGnru&dyelNWaryaBaMcp '
REVIEWS`
FRONT
ZONING -E'REVIEW!
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW .
DATE
'-
RECEIVED
DATE
COMPLETED
Rev. 8/2/17