HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4-11-19 SCANNED Permit Number: (_1�
'�' =� St. Luce County Cion
ECEIVED
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Building Permit ApplicaPR 10 2019
Planning and Development services County, permittin
Building and Code Regulation Division 9
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT TYPE:
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Address: 3158 Will Fee Road Fort Pierce, FL 34982
Property Tax ID #: 24287111-0001-000-8 Lot No.
Site Plan Name: Facilities Compound Block No.
Project Name: Double Trash Bin Enclosure
Install 263" X 12'8" concrete pad with 6' CMU walls and 4" diameter X 42" high steel bollards; double trash bin enclosure.
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
Total Sq. Ft of Construction: 325 sq.ft
Cost of Construction: $ 15 n 0
Sq. Ft. of First Floor: _
Utilities: _Sewer _Septic Building Height:
Pitch
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Name St. Lucie County BOCC
Name: Owner Builder
Address: 2300 Virginia Avenue
Company: St. Lucie County BOCC
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No. 772-462-1100
Address:2300 Virginia Avenue
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No 772-462-1100
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail
State or County License
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.
SUSUPPLEMENTALCONSTRUCTION LIEN•LAW INFORMATIQN
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DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
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 vour Notice of Commencement.
Signature of ner/ Lessee/Coritractor as Agent for Owner
Signature of Co tractor/License older
STATE OF FLORIDA
00LL0
STATE OF FLORIDA II
COUNTY OF STL-ttC e
COUNTYOF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 1L day of APRs u. 20_n by
this L(_ day of ljf/ec I_ 20L{° by
JEC.CUakll V-.40t410soAJ
Jre-PA iAg k-• JO0,UJ-d J
Name of person making statement.
Name of person making statement.
Personally Known ✓ OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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Signature of Notary Public- 0aSISAS. BOECKEL
nature of Notary Public- State .
LSEL•ISSA S. BOECKEL
Commission
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