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
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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
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Tin TroyFain Insurance BDD38ST019
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Rev.2/7/19
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