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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLEfiEE) FOR APPLICATION TO BE ACCEPTED Date: `�,1��1d1 Permit Number: Vllwt- 03a.I Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 ounimilcu By =RECEIVEDSt. blPiP.rnlintit Building Permit Applica ion ST. Lng Commercial Residential X PERMITTYPE: PROPOSED IMPROVEMENT, LOCATION: ` Address: 100 BERGER RD Fort Pierce, FL 34945 Property Tax ID #: 2309-501-0013-000-6 Site Plan Name: Michael Neill Project Name: Michael Neill DETAILED DESCRIPTION OF WORK: install 30x35x12 partially open carport on ground ** 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: 1050 Cost of Construction: $ 9339.50 _ Gas Piping _ Sprinklers Lot No. _Shutters —Windows/Doors _ Generator _ Roof Pitch Sq. Ft. of First Floor: 1 Utilities: _Sewer _Septic Building Height:12 OWNER/LESSEE: CONTRACTOR: Name Michael Neill Name:3ames Player Address:100 Berger RD Company: Carports Anywhere City: Fort Pierce State: _ Zip Code: 34945 Fax:352-468-1113 Phone N0.352468-1116 Address: PO BOX 776 City: Starke State: FL Zip Code: 32091 Fax: 352468-1113 Phone No352468-1116 E-Mail:Jbpermitsfl@gmalLcom Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mailjbpermitsfl@gmail.com State or County License CBC1251995 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: _Not Applicable Name: I Name: 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 andcovenantsthat 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." Signature of Owner/ Less a/Contractor as Agent for Owner Signai—ur ff i NAxacto.(Lr;At a Holder STATE OF FLORIDA 6oc;c STATE OF FLORIDA COUNTY. COUNTYOF The forgoing Instrument was acknowledged before me The foing instru ent was acknowledged before me LSEf this day of C_�-._r r— .20 Je by this /brgoday of f 2019 by Aki l( J14-A-iEs P4,4YE! }lame of person making statement. Name of person making statement. Personally Known - OR Produced Identification Personally Known OR Produced Identification Type of [den ' iyanon q ) , /fcP�cs� Type of Identification Produced/iJi,�f�{,avr� Produced (Sign r of Notary Public -State of Florida) (Signature of Notar PubkV,,•..StarAfJ Wg6lh Commission No. No Commisslonp�49` S.. fs ,yr Notary. Public grata of Florida,'6onded ommission iresAuguet Tin TroyFain Insurance BDD38ST019 REVIEWS FRONTrIm"sSOR LANS VEGETATION SEATURTLE MANGROVE COUNTEVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.2/7/19 M I