HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: S/i e Permit Number:
• D -
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE: Shed DCA
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Address: 1000 Savanna Club Road
Property Tax ID#: 3426-700-0002-000-0 Lot No.2
Site Plan Name: American Legion Post 318 Block No.
Project Name:, xr
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Install a B'x 10'Superior Pre-Manufactured DCA Shed on Property to be used for occasional item storage(no hazardous materials)
No Concrete and No Electrical
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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: Sq. Ft. of First Floor:
Cost of Construction:$ 1600.00 Utilities: —Sewer _Septic Building Height:
Name American Legion Post318_ Name:Michael DiGiacomo
Address:1000 Savanna Club Blvd Com an :Pure Building Corp
City: Port Saint Lucie, FL -State: Address:9773 SW Santa Monica Dr
Zip Code: 34952 Fax:772-878-0625 City: Palm City State:FL
Phone No.772-878-0665 Zip Code: 34990 _ Fax:
E-Mail:darylbowie69@gmail.com Phone N0772-285-8666
Fill in fee simple Title Holder on next page(if different E-Mail MICHAEL@ CLUBPURE.ORG
from the Owner listed above) State or County LicenseCGC-062943
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.
SUPPLEMENTAL CONSTRUCTION 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: 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER RJR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO CEMENT."
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLOR DA STATE OF FLORIDA
COUNTY OF Zv6
1C COUNTYOF 5%r. toci
The for oing instrument was acknowledged before me The for oing instrument was acknowledged before me
this N1 PY 20Za by this / day of 14Ay 20?c by
�A/ day of
/VI ICNPI� �t l7tACo rv- MiCItRL-t_.. JJi 61A 40. .
Name of person making statement. Name of person making statement.
Personally Known A_ OR Produced Identification Personally Known x OR Produced Identification
Type of Identification ype of Identification
Produced otaryppolic State ofFlorlda roduced
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Expire,;m 1/912021 127a92 ,j. .
Vt " IV. C.; f Notary Public State Floritle
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Commission No. (Seal) Commission No. )
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.