HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED tt
Date: -� ��3� Permit Number: \ C I
• RECEYVE®
® Building Permit Application JAN 2 3 2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982 —
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential Xxx
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 15375 Skyking Drive, Port St. Lucie FL 34987 c,r,n*rNE
Legal Description: TREASURE COAST AIRPARK LOT 69 (4.80 AC) (OR 3650-2774) BY
Property Tax ID #: 4224-501-0069-000-9
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side:
Left Side:
Lot No.
Block No.
County I
L'DETAILED DESCRIPTION OF WORK:
60x60 Partial Enclosed on Ground with Extended Footers
****NO ELECTRIC - NO PLUMBING****
CONSTRUCTION INFORMATION:
Additional wor to bEll"tormeo un ert ispermrt—check all apply:
1_1HVAC Gas Tank Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing Sprinklers 11 Generator Roof 3/12 Roof pitch
Total Sq. Ft of. Construction: 3600 S Ft. of First Floor:
Cost of Construction: $ 44,080 UtilitiestSewer ElSeptic Building Height: approx 18'-19'
OWNER/.LESSEE:
CONTRACTOR:
Name David F McClure / Sheryl L McClure
Name: James Player
Address: 1756 Conway Heat
Company: Carports Anywhere, Inc.
City: Camp Hill State: PA
Zip Code: 17011 Fax:
Phone No.
Address: Po Box 776
City: Starke State: FL
Zip Code: 32091 Fax: 352-468-1113
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: jbpennitsfl@gmail.com
State or County License: CBC1251995
If value of construction Is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
MORTGAGE COMPANY: _ Not Applicable
Address: I Address:
City: State: City: State:
Zip: Phone I Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address: Po Boa 776
City:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Address:
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 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 inspectio . If you intend to obtain financing, consult with lender or an attorney before
c m n k or w&ding vour Notice of Commencement.
Signat Owner/ Les ee/Contractor as Agent for Owner
Signat r of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDAYj
COUNTY OF �ir+"•
COUNTY OF ,.,,dfim
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this ' 1 day of 2018 by
this _-ZZ day of n n 201011 by
I_)A,vto
T(M5 4 10\1 y
Name of person making statement
Name of perspn making statement
Personally Known K OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Ident' cation
Produced
Produced
,
(Signature of Notary Public- riMIHLEEN DAVIS
Commission#
Signat re o otary Public- State of F1 .da )
FF 175027
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Pfp SIERRATERRELL
Commission No. FF t �January7,2019
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Rev.8/2/17