HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: `e.°11 Ao\. _ Permit Number: ����' d ► 1
RECEIVED
Building Permit Application JAN 2 9 2019
Planning and Development Services ST. Lude
Building and Code Regulation Division 6�Hfity Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X GraNNED
BY
PERMIT APPLICATION FOR: Aluminum with concrete St. Lucie Count)
PROPOSED IMPROVEMENT LOCATION:
Address: 5807 Silver Oak Drive, Ft Pierce, FL 34982
Legal Description: Lots 41 and 42, Block 20, INDIAN RIVER ESTATES UNIT SIX, according to
the Plat thereof, as recorded in Plat Book 10, Page 57, Public Records of St Lucie County, Florida.
Property Tax ID #: 340260701940002
Site Plan Name:
Project Name: Storage Building
Setbacks Front Back: 15 Right Side: 15 Left Side:
Lot No. 41&42
Block No.
DETAILED DESCRIPTION OF WORK: III
Erection of 30'x41', 12 gauge storage building on concrete footers.
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CONSTRUCTION INFORMATION: III
11HVAC Gas Tank ❑Gas Piping Li Shut ters ❑Windows/Doors
Electric Plumbing Sprinklers Generator W1 Roof 3/12 Roof pitch
Total Sq. Ft of Construction: 1230 S Ft. of First Floor: 1230
Cost of Construction: $ / / J 6 Utilities:Sewer Septic Building Height:
OWNER/LESSEE: Charles Victor Combe II
CONTRACTOR:
Name Charles Victor Combe II
Name:
Address: 5807 Silver Oak Drive
Company:
City: Ft. Pierce State: FL
Zip Code: 34982 Fax:
Phone No.484-919-6200
Address:
City: State:_
Zip Code: Fax:
Phone No.
E-Mail: combemj@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail:
State or County License:
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 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 andcovenantsthat 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
commencing work or recording vour Notice of Commencement_
Signature of er/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF S/- Ll�'4
COUNTY OF
Thefor ling instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this J I1day of JA14( I201 q by
this _ day of , 20_ by
H AA _.� Cotitge,
Name of person making statement
Name of person making statement
Personally Known _�4_OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
roduced /
Produced
(Signature of Notary Public- ladof Florida)
(Signature of Notary Public- State of Florida )
Commission No. lLA46 sal}'.•-,, MARC
C4idfrE3lbn N (Seal)
- ; = MY COMMIS
ION # GG001648
EXPIRE
June 13.2020
(407)
99-0133 MMa
obry5arvica.eam
SUPERVISOR
PLANS
REVIEWS
FRONT
ZONING
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17