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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION-- —r ALL APPLICABLE INFO M ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: SC'P Aft -limber: as I I BY - St. Lucie County RECEIVED Building Permit Application JAN 16 �'3 i Planning and Development Services Building and Code Regulation Division ST. Lucie County, Permitting 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential PERMIT APPLICATION FOR: Shed DCA = 1 Address: 4015 N US Hwy 1 Legal Description: Remove shed and replace Pre-fabicated shed Property Tax ID #: 14LU-" Site Plan Name: Shed Project Name: Utility Shed Setbacks Front Back: Right Side: Side: Lot No. , ,p::, A _ . ::.{ a w ai6 ,. '� �. ; 1,j' •-s... See datail plans sheets de,c,er Cxt5 �5 kWl >r� i ems !/ Nc,IJ 5f1� sheer f o,v r3/ock„S / X I�t�� Y]lY _ ,yt I. '�G! } ..i (� Yt3 k} j l AL ! CONSTRUCTIONINFORIVlATIONy „' 4 xx Additional wor to e e orme under tispermit—checka apply: ❑HVAC De ❑Gas Piping _Shutters ❑Windows/Doors ❑ Electric ❑ Plumbing []Sprinklers ❑ Generator ❑ Roof ❑ Roof pitch Total Sq. Ft of Construction s � 1 j .4l I S Ft. of First Floor: 3V3 sea Cost of Construction, n Utilities Sewer ❑Septic Building Height: 13, TIC G©NTRACTOR NameCountry cove LLc. Name:, Earl Gaines Address:49 Sw Flager Ave Site 201 Company: E & B Elite Services Inc. City: Stuart State:FL Zip Code: 34994 Fax: Phone No.(305)905-3016 - - Address: 5821 StarcherAve City: Fort Pierce State: FL Zip Code: 34947 Fax: (772) 465-2351 Phone No. (772) 577-0826'' E-Mail:49dressier@gmail.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: ERLGAINES@COMCAST.NET State or County License: CGC 1517445 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW1NFORMATION: =` ' DESIGNER/ENGINEER: N a m e: country Cove LLc. X Not Applicable — MORTGAGE COMPANY: _ Not Applicable N a m e: ead Gaines Ad d reSs:4015 N US Hwy 1 Address: 49 Sw Flager Ave Site 201 City: swan Zip: Phone State: City: Frrnele. State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING COMPANY: Not Applicable Name: Address:5921 StarcrerAve 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 County makes no representation that is granting a permit will authorize the ermit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or anscovenants 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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording; vour Notice of Commencement. C 1 . 2 Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF o1C�,IP, The fo goiinst ng���ru ent was acknowledge efore me this IV day of C20_Vby Feark- 0'11R'it1Pg Name of person making statement Personally Known OR Produced Identification Type of Iden 'fic tion Produced !K 'hl-- (Signature of Nota P b -c- Statg of l KARE•n S.`NIELSEN Commission No. ommis57SR FF 115637 ` My Commission+Expires ''`,nor ;;;a°•�June 12, 2018 r� Signature of STATE OF FLORIDA COUNTY OF The forgoing instru ent was acknowledge before me this�g-dayof J20-A by Name of person making statement / Personally Known OR Produced Identification ✓ Type of Identification _ of .�•�:,, KAHlLCI,V, S. NIELSEN Commission No. �"= Comn(Seal)� !i FF 115537 My Commission Expires June 12, 201 a REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE-_ IC' 6(25!S Rev. ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4. (62- 11 - Permit Number: n _r,915� RECEIVEn Building Permit Application JAN 1 Planning and Development Services Building and Code Regulation Division SY. Lucie County, Permitting 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential PERMIT APPLICATION FOR: Shed DCA LOCATION Ptm PROVAMEN'T, Address: 4015 N US Hwy I Legal Description: Remove shed and replace Pre-fabicated shed Property Tax ID #: 1420-14,1-0009-000-0 Site Plan Name: Shed Project Name: Utility Shed Setbacks Front Back: _ Right Side: Side: Lot No. ' -b;4 0_ZJ See clatail plans sheets de�'� txl :5 ;'.r� ,!S �N'P_'L VN '0 cko &Elct f <)'o 3/0 X e��'r I C)01'<� 9 to,) 50ME r, X 4�'� IQ 46�4�'R,."T NR'IJCT IMINFORgAT Additional work to b ertormed unclerThis permit— cneCK all apply: 1]HVAC Gas Tank E]Gas Piping Shutters ❑ Windows/Doors ElElectric Fj Plumbing []Sprinklers Generator E]Roof = - Roof pitch /L Total Sq. Ft of Construction.-_�- :> 71 .4+1 S Utilities. Septic Building Height; 13 Ft. of First Floor: 3U) 5?& "n El, Cost of Constructio Sewer ----------- � N RAC OK Name Country Cove LLC. Name: Earl Gaines Ad6ess:49 Sw Flager Ave Site 201 Company: E & B Elite Services Inc. City: Stuart State: FL Zip Code: 34994 Fax: Phone No. (305) 905-3016 Address: 5821 StarcherAve City: Fort Pierce State: FL Zip Code: 34947 Fax: (772) 465-2351 Phone No. (772) 577-0826 E-Mail:49dressler@gmail.com Fill in fee simple Title Holder on next page if different from the Owner listed above) E-Mail: ERLGAINES@COMCAST.NET State or County License: CGC 1517445 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 'SUPPLEIV�EN�TAL�CONSTRUCTION$LIEN�LAW INFORMATION h,;� ` ` ; �,r ��� �:��`��£ = �` fi ,' y DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: Not Applicable N a m e: Country Cove LLC. Name: �„ Gzines Add ress: 4015 N US Hwy 1 Address: 49 Sw nager Ave Site 201 City: steed State: City: FodPier°e State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address:5821 Sta.harAva 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 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 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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA (� COUNTY OF �C1C�,I�, COUNTY OF � 1 • LIie'lie. The f�org°in instrument was acknowled a efore me g The for oin instru ent was acknowled a before me g this dayof 20 b C\� Y this day of 20 b y � y 5�.�, k art QB'I e", Name of person making statement V Name of person making statement / V Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Iden 'Lfic tion Type of Identific ' n Produced 1 L�_ Produced I (Signature of Nota Pub'c-St to of I i a (Sig ature of Notary P (CARE S. NIELSEN '`%"' ommis lS. FF 115637 ;:> , KAREN S. NIELSEN Com n{S@dih N FF 115637 Commission No. Commission No. ' My Commission•Expires _ - My Commission Expires June 12, 2018 i1 June 12. 2018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE (o I25%r8 RECEIVED DATE COMPLETED Rev.8/2/17 . % /