Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 vl�1 Date: t� OEft Permit Number:t 1 RECEIVED =- - - MAR 0 8 1010 SCgN Building Permit Application St ey Planning and Development Services Permitting Department 4C/E? C Building and Code Regulation Division St. Lucie County i 1300 Virginia Avenue, Fort Pierce FL 34982 J/ Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III Address: e L„ Legal Description: YUVim f I r I YI I t- UVI I tv wr L. 6 7`f R 38-19 1 — (— 2 r�r PropertyTaxiD#: 7J• 3n�i—U65-VMS-'a©© -'C1 Site Plan Name: Project Name: Mc, niiil$ Setbacks Front q' Back: Right Side: _ _ Left Side: � Z. 9-7 AC Lot No. z Block No_ l DETAILED DESCRIPTION OF WORK: ins+cyll open 2nx 3l9 x.13 u n ground I no e(ec3rrc CGII(PD F AD pluwlb1h�_ no d r i l/twa)'.1 CONSTRUCTION INFORMATION: mono wor to e e orme under this permit —c ec a apply: 0HVAC F]GasTank DGasPiping _Shutters ❑Windows/Doors Electric D Plumbing Sprinklers I Generator D Roof Roof pitch Total Sq. Ft of Construction: woo 54 S Ft. of First Floor: _(D� P 2 Cost of Construction: $ 51010 5 • OQ Utilities: Sewer Septic Building Height: t J OWNER/LESSEE: • CONTRACTOR: Name R, cL %. r . (• _ M `A n . n 11.y' Name: James Player r Address: rl LI i L l.{, 7 ati ", Company: Carports Anywhere City: for 4 fy^i- L - wr : Y State: FL Zip Code: / J Fax: Phone No. Z - yr, Address: PO BOX 776 City: Starke State: FL Zip Code: 32091 Fax: 352-468-1113 'Phone No. 352-468 1116 E-Mail: q M 4, Fill in fee simple Title Holder on next page ( if different from the Owner listed4above) , 1. 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. ,r 4_ SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: ' Not Applicable Name: �01�J►lLi t/ �� n MORTGAGE COMPANY: _Not Applicable Name: James Player Address: Illo�— rlvpl 12 Address: City: State: Zip, -3Z720 Phone g_(o— 17" 57 City: Swrke State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable Name: Address: PO Box776 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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conAct 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 twlcb 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 comtdtencing work or recording vour Notice of Commencement. d%V T cN_- (f �/ Sig ature o Owner/ Le see/Contractor a gent fo ner Signature of tractor/License Holder STATE OF FLORID s+ p COUNTY OF `U l� STATE OF FLORIDA COUNTY OF Prodifird �) The forgoing instrume t was ack owledged before me this of 204 by The forgoing instrument was acknowledged efore me this � day of Ma ✓(fir l . 20A5 by 0AW rkil��� &W (r1C�nin� TMW PI Name of person aki tatement Personally Known �ORProduced Identification Name of person making sta ement Personally Known ) OR Produced Identification _ Type of Identification Type of Identification Produced Pro ce C (�(lc�.r►s��� hn r aJ3��2 (Signature of Notary Public- of Florida) (Signat a of Notary Public -State of Florida ) /State Commission No. GG ��`1 (seal) Commission No. "��6`4;: S46lyail)MCGUCKIN•PIGNC ".+1+'e.","., MARISSAPARKER `' s 5 My COMMISSION q GGf 30 +�>'r EXPIRES May 22, 20[S REVIEWEX S FRON '.'„oy7NThml� LANS VEGETATION SEA TURTLE MANGROVE COUNT VIEW REVIEW REVIEW REVIEW DATE IG RECEIVED I DATE COMPLETED Rev.8/2/17 V