HomeMy WebLinkAboutNew Shed permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
COUNTY
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential _
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: &/r�.'�'ILL" c' _ i� ` ,.% �5; 21 e c , Z-2_ J ,-z e -,-��
- -
Property Tax ID #: j �/ -���� COE' e�'elZ Lot No.
%7
Site Plan Name: Block No.
_2
Project Name: AC� 3 <'t���� ��✓T/�D
DETWLED DESCRIPTION OF WORK:
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: ���.� �t Sq. Ft. of First Floor:
Cost of Construction: $/ _Sewer _Septic Building Height:
� OCA Utilities:
OWNERAESSEE; CONTRACTOR:
Name X::�Ies�z S'e9z:K Name:
' a_
AddresS� 6�� X1727 ' �� Company:
�� ' �= State: Address:
City: ! - S a"'.
Zip Code: 3�Z7% Fax: City: State:
Phone No. / _ �l�Yli-' " y�+.�' Zip Code: Fax:
E -Mail: l',6�' / �.!!�c%�i`�'�f.f'�%Z"� is<'�'�/, �c 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.
If value of HVAC is $7,500 or more, 2 RECORDED Notice of Commencement is required,
'�,�'�ONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER; Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City:
Zip: Phone:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and instaiiation 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR'I(ENPO OR AN A.VORNMBEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
re of Ow er/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA,,-
COUNTY
LORIDA/COUNTY
The lfgr oing instru nt was acknowled ed efore me
this I -day of 20b
.r L , f QI
Name of person makingistatem
Personally Known OR Produced Identification
Type of Identific� 'on�
Produced
(Sigriature of Notary Public{atate-^OTfilur,ua )- -
"""�" MICHAEL_ MCHALE
Commission No. C IN11ti�1$i� 1�1G168796
iy PIRI:S 1)"cnibcr 17. 2021
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this jday of _, 20_ by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW I REVIEW REVIEW REVIEW