HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: `�3\ �� SCANNF-D Permit Number: 00
BY RECEIVED
St. Lucie County
Building Permit Application
Planning and Development Services ST. Lucie County Perfnmin9
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
IMPROVEMENT LO
Address: 8690 Jay Gardens Ln, Ft. Pierce FL 34945
Legal Description: Jay Gardens- Ft Pierce Blk 4 Lots 5,6,7,14,15,16 and S 25 ft of Vac Rd R/W N of Adj Lots 5,6,7 (Map 23/11
(1.33 ac) (OR 2076-1931)
Property Tax ID #: 2311-601-0054-000-9
Site Plan Name: Williams
Project Name: Williams
Setbacks Front Back: Right Side: Left Side:
Lot No. 5-7,14-16
Block No. 4
DETAILED DESCRIPTION OF WORK: IIII
24x30x12 Detached Carport cini
mm e X i s t-f tCn n cy 2
****NO ELECTRIC - NO PLUMBING - NO DRIVEWAY�I*** p QYm i i- 2301- b 7 �y
CONSTRUCTION INFORMATION: III
onalworKto De
HVAC
Electric
errormea
unoerinlspermri—cnecxau apply:
Gas Tank ❑Gas Piping _Shutters ❑
Plumbing Sprinklers Generator
Wirjdows/Doors
Roof 3/12 Roof pitch
0
Total Sq. Ft of Construction: 720
Cost of Construction: $ 5,085
S Ft. of First Floor: 720
Utilities: Sewer E]Septic
Building Height: apprx 15'
OWNER/LESSEE:
CONTRACTOR`
Name RobertWilliams
Name: James Player
Address: 8690 Jay Gardens Ln
Company: Carports Anywhere
City: Ft Pierce State: FL
Zip Code: 34945 Fax:
Phone No. 772-460-6928
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: jbpermitsfl@gmail.com
State or County License: CBC1251995
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
NEER:
MORTGAGE COMPANY:
Applicable
Name: Robert Williams N ame:James Player
Address: 8690 Jay Gardens Ln, Ft. Pierce FL 34945 Address: 8690 Jay Gardens Ln
City: Ft Pierce State: City: Starke State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Ad d ress• Po aox 776
City:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Address:
9-3
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 inspection. If you intend to obtain financing, consult with lender or an attorney before
rnmmpnrine wnrk or rprnrdine your Notice of Commencement.
Signature of wner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA `�
STATE OF FLORIDA
DrA of �a rOI
COUNTY OF
COUNTY OF
The f rgoing instru ent was acknowledged before me
this day o 26 qy
The forgoing instrument was acknowledged before me
this day of Tovh , 20� by
RA - "L i dmS
tames P f
Name of persorym aking statement
Name of perss n maKing statement
!�
Personally Known ✓ OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
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Produced
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(Signature of Notary?Pub ICP� ate o fti GERAW
(Signature q Pub9 a )
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Commisslon
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Commission No. ber17
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Commissi Ex �IresOclober18,2020Seal)
FJ(PIRES 2021
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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