HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/10/2017 Permit Number:
R "F ED
Building Permit Application APR 10 2011
Planning and Development Services PERMITTING
Building and Code Regulation Division St. 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 10CAT'I ON
Address: 5203 Feather Creek Dr, Fort Pierce, FL 34951
Legal Description: Holiday Pines S/D-Phase 1113-Lot 418 (Map 13/12S)(OR 3782-201)
Property Tax ID#: 1312-801-022.1-000/5 Lot No.418
Site Plan Name: Block No.
Project Name: Stepaniak Shed
Setbacks Front 25' Back: 15' Right Side: 7.5' Left Side: 7.5'
DETAILED DESCRIPTION OF WORK
Installation of 10'x12' manufactured storage shed (Superior Sheds), installed on concrete blocks and
anchored into dirt.
TRUCT' ION-INFORP TION
, T'
Additionalworktobenertormed under this permit—check all apply:
11HVAC Gas Tank []Gas Piping Shutters
In ❑Windows/Doors
Electric Plumbing OSprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 120 S . of First Floor: 120
C11
Cost of Construction:$ 2445 Utilities: SewerF ]Septic Building Height: 84"
OWNER/LESSEE
CONTRACTOR:.
T-
Name Rachel Stepaniak Name: Owner
Address:5203 Feather Creek Dr Company:
City: Fort Pierce State:FL Address:
Zip Code: 34951 Fax: City: State:
Phone No.772-473-6016 Zip Code: Fax:
E-Mail:erasers3@aft.net 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
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Davis&Cleaton Engineering Inc. Name: Rachael Kimard Macintosh Revocable Living Trust
Address:260 Wekiva springs,suite 1060 Address: 4 Forest Park Dr
City: Longwood State: FL City: Vero Beach State: FL
Zip: 32779 Phone: 407-539-2353 Zip: 32962 Phone: 772-567-4657
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 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
I
n 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 our Notice of Commencement.
s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF_ �. LA)(L,IF, COUNTY OF
The forgoing instr ment was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 �Lby this day of 20 by
01 I-A' 'eh Rmi
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced V11 Type of Identification Produced
Commission No. 66 16 S""' KAREN S. t7np
Sisio� No. (Seal)
Commission 11 5637
oc My Commissi ires
June
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS