HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONSAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (�
Date:06/21/19 SLNNwEu Permit Number: I `0('oU31
BY
St. Lucie County 0cENED
wo
Building Permit Application NN,281019
Planning and Development Services artment
Building and Code Regulation Division
Per tdin D county
st 2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT TYPE:After the Fact Permit for Pole Barn
Address: 2667 S Brocksmith Road Ft. Pierce, FL
Property Tax ID #: 2320-501-0042-000-3 Lot No.
Site Plan Name:
Project Name: Pole Barn --
After the fact
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construct;foJQ� CJ Sq. Ft. of First Floor:
Cost of Construction: $!r • Utilities: —Sewer _Septic
Block No.
Windows/Doors
Roof Pitch
Building Height:
w01AlNERJLESSEEi _ _,".'
CONTRACTOR _ r ,
NameDaVid G. Clarius
Name:
Address:853 SKings Highway
Company:
City; Fort Pierce
Zip Code: 34945 Fax:
Ph ��el 0 561 827-6650
E-ail cenvironmental.co
State: _
PM�iI Ol}1
Address:
City: State:_
Z'p o e: Fax:
o e o
Fill in fee simple Title Holder on n
from the Owner listed above)
rt page ( if different
E-mail
State or County License
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.
t`
SUPPLEMENTAL
CONSTRUCTION LIEN LAWINFORMATION_ "
DESIGNER/ENGINEER:
Name:
x_ Not Applicable
MORTGAGE COMPANY: _
Name:
Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone: '
State:
FEE SIMPLE TITLEHOLDER:
Name:
_ Nat Applicable
BONDING COMPANY: _Not
Name:
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 1 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 IMPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED'ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WRTI,VOOR END OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/Lessee/Contractor as Agent for Owner
Signature of Contractor/UcenseHolder
STATE OF FLORID
STATE OF FLORIDA
COUNTY OF ��` �. i
COUNTY OF
nit was acknowledge fore me
The forgoing ins70—&&
The forgoing instrument was ac owledged before me
this o4day of 20Iy
this_ day of 20_ by
ha -ut [(.i f e S
Name of person making statement.
Name of person makin tement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identifica ' n
Produced
Produced
t
ignat
a@@I 6YNN ggA4{I®61@NE• 4Nf68Ylt®atPlarlge•Ngtafy PublicCommission
of Notary Public -State of Florida420400mv
10nNQ q;0501
/ISgnassre
on No. (Seal)
Comm[onion Expires
.$P S N v er 14 2021
REVIEWS
SUPERVISq
PLANS
VEGETATION '
SEATURTLE
MANGROVE
FRONT
ZONING
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
II
DATE
COMPLETED
ev. 217119
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number::
,LANNED
BY
•~ St. LucieCoUiVt9/
-- Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: After the Fact Permit for Pole Barn
PROPOSED IMPROVEMENT LOCATION:
Address: 2667 S Brocksmith Road, Fort Pierce, FL
Property Tax ID #: 2320-501-0042-000-3
Site Plan Name:
Project Name: Pole Barn (North Structure)
DETAILED DESCRIPTION OF WORK:
After the fact permitting for Pole Barn (44' x 72')
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction: 3168
Cost of Construction: $ 12500
Lot No.11,14, &15
Block No. 3
_ Gas Piping _ Shutters —Windows/Doors
_ Sprinklers _ Generator _ Roof
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Cedric and/or Shenyann Harman
Name: Lionel J. Dunbar
Address: PO Box 13708
Company: Black Street Enterprises, LLC
City: Fort Pierce State: _
Zip Code: 34979 Fax:
Phone No.
Address:535 NW Mercantile Place, Unit 107
City: Fort Pierce State- FL
Zip Code: 34986 Fax: (772) 344-8203
Phone No (772) 344-8201
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail psi@bsefl.com
State or County License CGC1509119
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: x Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ 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 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. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR -L'�III DER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
ignatt e of Owner/ Lessee/Contractor as Agent for Owner
SignaturFContracr� r/License Holder
STATE OF FLORIDA
STATEFLORIDA
COUNTY OFSLwde
COUNTY OFStLud.
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 18 day of September 20_ by
this 18 day of September 20_ by
Cedric Hannon
Lionel J. Dunbar
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
OJL P. �0&
(Sig atu a of Nota faEe•e
`'P6
Produce
(Sig atur of Notary. Public- State of orida
" , KRI371NA E DAVIS
'N'°•�4> KRISTINA DAVIS
k-,
,�1
Commission No. FF edge• '- COMMI��9�NN # FF960833
Commission No. FFs qe$a ,, y COMMA jj�.Y # FF9IS
60
60833
EXPIRES March 08. 2020
•' EXPIRES March 08.2020
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I407,388.0
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SEA TURTLE
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. Z///19