HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: March 30,2017 Permit Number: O �
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Building Permit Application MAR 3 1 2077
Planning and Development Services PER'Al T TIti1G
Building and Code Regulation Division Si. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Shed DCA
PROPOSED IMPROVEMENT.LOCATION:
Address: 5911 Yucca Dr, Fort Pierce FL 34982
Legal Description: Indian River Estates-Unit 09-BLK 89 Lott 22 (MAP 34/12S)(OR 3237-242;3610-649)
Property Tax ID#: 3402-610-0590-010-1 Lot No.22
Site Plan Name: Block No. 89
Project Name:
Setbacks Front 62ft Back: 53ft Right Side: 23ft Left Side: 44ft
DETAILED DESCRIPTION OF WORK:
Manufactured shed by Superior Sheds being delivered and anchored down to the west of the
residence at the above location. ilk �p
CONSTRUCTION INFORMATION:
Additional work toa er orme under this permit—c ec a t app y:
HVAC E]Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
DElectric ' 0 Plumbing Sprinklers FIGenerator E] Roof Roof pitch
Total Sq. Ft of Construction: 100f SFt.of First Floor: 100ft
Cost of Construction:$ 2,327.03 Utilities:cn Sewer D Septic Building Height: 84"
C!W N ER/LESSEE: CONTRACTOR:
Name Robert Hamel Name:
Address:5911 Yucca Dr Company:
City: Fort Pierce State:FL Address:
Zip Code: 3492 Fax: City: State:
Phone No.(561)262-2007 Zip Code: Fax:
E-Mail:rhamel3938@aol.com Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x_Not Applicable
Name: Davis&Cleaton Engineering Inc. Name:
Address:260 wekiva springs,suite 1060 Address:
City: Longwood State: FL City: State:
Zip: 32779 Phone: (407)539-2353 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 thepermit 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 recordingyour Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORID STATE OF FLORIDA
COUNTY OF L- arm o COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 0 by this day of 20 by
(Name of person cknowledging) (Name of person acknowledging)
n ture of NotTry Publi State of Florida) (Signature of Notary Public-State of Florida)
P rs nally Known OR Produced Id ntification Personally Known OR Produced Identification
T e of Identific�atttiion Producedp,� Type of Identification Produced
Commission NoT ����� I (Seal) Commission No. (Seal)
Jason He
WfA 'Revised 07/15/2014
EXPIRES:
WAARNNoTRY. M
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS