HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNEDPermit Number: 19 0 V— 17 J
BY
' St. Lucie Cou* RECEEIVED
-`� Building Permit Applic tion
Planning and Development5ervices APR 24 ppig
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578 Commercial esi=&Oig County, FL
PERMIT TYPE: Shed- %�s'%*%A 1�ew cohoty C
PROPOSED IMPROVEMENT LOCATION:
Address: 8793 LONESOME PINE TRL
Property Tax ID #: 2323-701-0051-000-2
Site Plan Name: HIDDEN PINES ESTATES
Project Name:
DETAILED DESCRIPTION'bF' WORK:
Build wood 12 x 16 shed on concrete slab. `j 0
si4ia_ ---bIli -I i+. �6�0
Lot No.16
Block No. c
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing —Sprinklers _ Generator _ Roof 4/12 Pitch
Total Sq. Ft of Construction: 192 sq It Sq. Ft. of First Floor: 192 sq ft
Cost of Construction: $ 2,000.00 Utilities: -Sewer _Septic Building Height: 8
OWNER/LESSEE:
CONTRACTOR:
Name Andres Falcon & Monica S,aldain
Name: Wanda Gahn
Address: 8793 Lonesome Pine Trl
Company: W W W Enterprises & Son, Inc.
City: Fort Pierce State: _
Zip Code: 34945 Fax:
Phone No.305-213-1651
Address: 8833 Lonesome Pine Trail
City: Fort Plerce State: FI
Zip Cade: 34945 Fax: 772-465-7732
Phone No 772-465 9373
E-Mail: AIFKNIGHTS@YAHOO.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail.wandagahn@aol.com
State or County License CRC1328925
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL -CONSTRUCTION LIEN
LAW INFORMATION
DESIGNER/ENGINEER: NotApplicable
Name: _
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:!/a0. �/7� 2.
Address:
City: St te:
Zip: yyyS Phone
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
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 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 JOB SITE BEFORE THE FIRST INSPECTION. W YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMM EMENT."
.........
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Signature of Owner/ Less antra or s Agent g¢rvef
Signature ontractor/L ense Holder
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STATE OF FLORIDA
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STATE OF FLORI
COUNTY OF
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COUNTY OF
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The f$,rgD�ing instr ent was acknowledgedbefor e�
thisr2y day c; ►1.(..1� 20 �/. by c
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The fojj�oJJng instrument was acknowledge of r'y
this c�Yday of ,�jhl,�. . 20�by �''m
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Name of person making statement.
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Name of person making statement.
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Personalty Known �OR Produced identificat t9
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Personally Known l OR Produced Identific n
Type of Identification
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Type of Identification
Produced
Produced
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(Signature o otary Public- State of Florid
6�GL �/vim o�iVn.��
(Signature of Not ublic- State of Florida)
—�
Commission No. (Seal)
Commission No. (Seal)
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DATE
COMPLETED
Rev. 217119