HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr .
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ' d' 1 • I SCANNED Permit Number:
BY
t'i` to �s"iT St. Lucie County I I `
Building Permit Applieatio , Lucie County, {
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
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 3401 S Jenkins Rd Fort Pierce, FL 34981
Property Tax ID #: 2325-144-0020-000-3
Site Plan Name:
Project Name:
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: I
install 18x35x13 open Carport (RV Storage)
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 —Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 630
Cost of Construction: $ 4955
Sq. Ft. of First Floor: 630
Utilities: _Sewer _Septic Building Height:13
OWNER/LESSEE:
CONTRACTOR:
Name Darren & Cheryl Karlson
Name:James Player
Address:3401 S Jenkins Rd
Company: Carports Anywhere
City: Fort Pierce State. _
Zip Code: 34981 Fax:
Phone No.352-468-1116
Address: PO BOX 776
City: Starke State: FL
Zip Code: 32091 Fax: 352-468-1113
Phone No352468-1116
E-Mail:jbpermitsfl@gmail.com
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 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
Name: Matthew T Baldwin
Add reS5: 1160 Private Road
City: Deland State: 8
Zip: 32720 Phone 352468-1116
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
certify that no work or installation has commenced prior to the issuance of a permit.
no
:e the permit holder to build the subject structure
or and covenants that may restrict or prohibit such
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/ Lessee/Contractor as Agent for Owner
Signature of Con6tor/License Holder
STATE OF FLORIDA
COUNTY OF 13RF} p cPap
STATE OF FLORIDA
P&JID Fo t�D
COUNTY OF
The for cling instrument was acknowledged before me
this (�dayof t�f'_T 201� by
The for cling instrument was acknowledged before me
this �',day of Ott 20f� by
V li-N.'lES LAYER
Name of person making statement.
Name of person making statement.
Personally Known,-5416- —OR Produced Identification
Personally Known ' L_ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
w
fit. a
a u a
(Signature of Nota
-
(Signature of Not
lic-Stat f Florida
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Commission No.
Commission No.
+?•`� ExplresAuguslT5,2023
:,, mmissfon d G 8q9
b' Expires August 25,2023
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