HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COM VLETED FOR APPLICATION TO BE ACCEPTtid J
Date: YA' ftzz - \ � Permit Number: o q
ti•
S�•�UC� G°OUn RECEIVE[?
3 () 2019
Building Permit Applica ion ���
Planning and Development Services ST..Luc(e County, permltt
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XXX
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 2909 N 25th ST, Fort Pierce, FL 34946
Property Tax ID #: 1428-702-0503-000-8 Lot No. 7 & 8
Site Plan Name: Block No. 30
Project Name:
DETAILED DESCRIPTION OF WORK:
30x3Ox9 Partially Enclosed Steel Structure on Existina Concrete
" No Plumbing, No Electric, No Driveway"
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical
Electric
_ Gas Tank
Plumbing
Total Sq. Ft of Construction: 900
Cost of Construction: $ 6,365
_ Gas Piping _Shutters —Windows/Doors
_ Sprinklers _ Generator _ Roof
Sq. Ft. of First Floor: 900
Pitch
Utilities: _Sewer _Septic Building Height:9'sidewall
OWNER/LESSEE:
CONTRACTOR:
Name FranciscoJ Perez
Name:James Player
Address: 2909 N 25th ST
Company: Carports Anywhere
City: Fort Pierce State: _
Zip Code: 34946 Fax:
Phone No.
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 License CBC1 251995
If value of construction is 52500 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.
l
DESIGNS
ENGINEER
_ Not App icable
MORTGAGE COMPANY:
_ Not Applicable
Name: ram�wamaWA
Name•n
Address:
�rm
Address: 'wPiw
City: � D
State: FL
City:
State•
Zip: info
Phone 3as-717-wo
Zip: Phone:
_
FEE SIMPLE TITLE BOLDER: "
_ Not Applicable
BONDING COMPANY: -
_Not Applicable
Name: r9a
Name: wa
Address-
Address:
-city:---
-
C —
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 crinsta.Hation has commenced priorto the Issuance of a permit ,
St. Lude County makes no representation that is mantis¢ a permit will authorbethe permit holder to build the sublect structure -
In consideration of thegranting of this
in accordance with the approved plans
The following building permit appikati
accessory structures, swimming pools,
non and review your deep tor any resrnctions wmcn may appal.
I do hereby agree that I will, in all respects, perform the work
ig Codes and St. Lude County Amendments_
in undergoing a full concurencv review room additions,
saeen rooms and accessory uses to another non4eidential use
'11ARNING TO OTIIITi•IC YOUR FAELLIRE TO RECORD A NOTICE OF COMRff1TCE1IENT MAY RESULT RR YOUR PAYING
TITICE FOR IMPROYENNIS TO YOWL PROPERTY. A NOTICE OF COTDImII®14NT NUST BE RECORDED AND
POSTED ON THE JOB ME W THE FRET MPWFWFL IF YOU RFT81111 TO OBTAIN FMMNMWft CONSULY
MM YOUR LENDEReWM ATTORNEYMORERECOMM YOUR NOTKE OF COAVAENCEMM.w
SlgnatureoF ner/Lessee/ComradorasAgentforOwner -
SignMure Wntractor/UcenseHolder
STATIE OF
000NTY O FLORIDA n �DU/l%L1.
r -
STATE OF
COUNTY O FLORIDA ORA'D r— OAZO
e forgoing instrument was admowledged liefore me
The forrggoing instrument was acknowledged before me
is day of ZO by
thls2y dayof 0:-r LI/ 2.0.a'by
-..,U�.V� � �
lJA-fvL�S �L.4`1`"' l
lime of person making statement.,
Name of person making statement
Personally Known OR Produces Identifiiatiom LG
Personalty Known .OR Produced Idemifimtton
Type of Identi i�o n
Type of Identification
7ZProduced
jProduced
re of Nota lic-State of Florida)
(Signature of No a
Commission N0. Cd� %�%ate (Seal)
fommission No. :°"�T'wt!!�ry PuDlle %Florida
a R Bur m
�- ' My Commission FF 912776
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SFATU
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rey. 47/79
11
PLEASE HAVE THE FOLLOWING ACKNOWLEDGEMENTS NOTARIZED:
I CERTIFY THAT: (CHECK ONE)
A. ( ) 1 AM THE OWNER OF RECORD OF THE ABOVE DESCRIBED
_ PROPERTY AND WILL BE CONDUCTING THE WORK AS OWNER/BUILDER.
Dzdanne 523MMM& State kW 111AWe9 10715MCbart to be dote by frtre zwd mnbadms You have appged for a penmi
order an exemption to that /a)v. The ownwtior allows you as the owner of yosr fvoperty, to ad as yow own mr76ador
nrM oatw intw w even Mough Iva do not have a Narse You must p7wafe &v4 wta" spertamn of Me
mnsbu�an yore You nW bo7d or bnprove a one-faw7y or two-famwrawjww ora tam otr&&&,g. Yw nwy atsv
bw7d a*bnpmve a mm maul 1mff&4 luovided yow costs do rot earned S75Aga. Tire bm7dmg`wrPsdatce rrrtst be for
you/own roe oro�rpancy-Itrroyrotdrbm7t orsrtrsianf®Dybrpmvcdlorsale or/szse Jfyaur�D�/� a bro7dmg you_
have bw7t orsubs'6rt6aW bop7vvvdyow.xJfsvNivr I yearaRer tlJe m/ts»udion is mnrple� ffie brw wlDpresane Ctat you.
bugt or suhstantiaW bnproved it lorsate or /e39whidr is a sMab%w of fi& zwgotl= You may'not Me an ar/grnrsrd
pawn to ad as ymrmotrador or In supaYse people wwkiny on yowbw7dmy R/s yMi-nzpo/ss/b7Lly to r>Bke sun+b7at
purple employed th' you have Gorses rngtdr�byaba LrJvartdby murdy orr/um7dpat gr>�2g ordvean�c'You nmynot
delegate the iWva%W7yhasvpaws2rtg wok to a firnawd mnbador who is rotfanitsed to perhurr/ Me m*bang done:
.Myperson wadang an yowbrrldng who 6nOt 17092A'Tl rrtrtst worktmder yaJrdnedsr�avmort aMnmsibe anployed by
yo7, wlddt mays that you mist dedud F.ZCA and w1moldmg taramirmMde workers owls iassatim forbw elr/ oor
ag as P •by laa: Your m7t�rztiort mast empty MM aff appgrabte La%* oJibtal2oer, bldfmg code. and zoning
reg2dations .. .
B. ( ) I AM NOT THE OWNER OF RECORD OF THE ABOVED'
DESCRIBED PROPERTY; HOWEVER, I HAVE AUTHORITY TO ACT AS AGENT
FOR THE OWNER OF RECORD. (St. Lucre County Code and Compiled Lasrs requires
that this type aftrork be done by a'licensed contractor. PLEASE PROVIDE
DOCUMENTATION).
I CERTIFY THATIA FORMATION SUBMITTED WITH THIS AMICATION IS TRUE AND
COMP T EST OF MY KNOWLEDGE.
fYy "iv
OWNER/_ GENTSIGNATURE
CONTRACTOR SIGNATURE ,
,STATE OF FLORIDA, .
STATE OF FLORIDA;
COUNTY OF ST. LUCIE
COUNTY OF ST. LUCIE ,
The foregoing instrumejp��v,as acknowledged
The foregoing instrument was acknowledged
before me thisA'ay`ofl cr( �9J,p%
before me this 2" 1 day oft 20�
by Q V c iv rrc tvbo is
by _ � Al%AF—=s fi-4lt re . who is
perso 1 know to me or h rod
Enally L22ijto Me -or has produced
epcation.
i tifi
as identification.
Signature of Notary
Signature ofNota
g�pr °rsk' Notary pubAd State of Floritla
MariaRBur in '
Type or Print Name of Notary
Type or Print Na o � MYCommussionFF912775
Expires 08/25/2019
/
No Publi v Title
Notary Public Title
Commission Number
Commission Number
J••ppV Pyry
(SEAL): VAFINIADENNES
(SEAL ):
Notary Public-RateofFlodda
Commission: GG 128722
`•:;$'a«;,.� My Comm. Expire5Jul 26.2021
gHsr�(stsrsrssr as ssss gssarrssss ssssssra ssssgsNfisia sf is ssapprsiip»srssrssrass
1W.0 Drill
APPROVED ;: DEMED
REVIEIYED/APPROVED BY
ENVIRONME'NTAURESOURCFS DEPARTMENT / DATE
Q UPDATID 10212014