HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
BY
. � '%LUcieCounfy
Building Permit
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
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 10450 W Midway RD Fort Pierce, FL 34945
Property Tax ID It:
Site Plan Name:
Project Name:
3303-232-0001-000-9
0 A5
RC IVLD—
JUL 3 0 2019
:ie County, Permittln,
Residential XX
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: I
26x30x14 Enclosed Steel Structure on Concrete
" No Plumbing, No Electric, No Driveway"
CONSTRUCTION INFORMATION:
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 Construction: 780
Cost of Construction: $ 13,073
Sq. Ft. of First Floor: 780
Utilities: _Sewer _Septic
Windows/Doors
Roof 3:12 Pitch
Building Height: approx 18'
OWNER/LESSEE:
CONTRACTOR:
Name Ryan Speirs Crystal Ann Speirs
Name:James Player
Address: 10450 W Midway RD
Company: Carports Anywhere
City: Fort Pierce State: _
Zip Code:34945 Fax:
Phone No. 772-318-9876
Address: PO BOX 776
City: Starke State: FL
Zip Code: 32091 Fax: 352-468-1113
Phone No352-468-1116
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mailjbpermitsfl@gmail.com
State or County LicenseCBC1251995
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: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
_
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Applicable
Name:
_Not
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 Count yy 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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Sign re of O er/ Lessee/Contractor as Agent for Owner
Signature Contractor/License Holder
STATE OF FLORIppA L1� II
COUNTY OF ! I LA
STATE OF FLORIDA
8(R.4bl=oQD
O ,VVT LP,
COUNTY OF
The fogging instr ent was acknowledged before me
this ay of LAB 20� by
The forpzoing instrument was acknowledged before me
this 2id� ay of J =X . 20t9 by
0 A-l�..-f ES PL.AV:F�
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known ;4� OR Produced Identification
Type of Id tificati n
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Type of Identification
ProducedL
Produced
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(Signature of Notary Pu
(Signature of No -
.00 P4n Notary Public State a1 Florida
Commission No. Kay[ art
ires 274003
1✓� h, Notary Public State W Florida
Commission No. l Mafia R BurglryCea )
Ex 11/05/2 22
lJV morn Expires ll/05/20-
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p, po`@ ExpIr0908125/2019
REVIEWS
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ZONING
SUPERVISOR PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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