HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: '2 Z�� - Permit Number:
Building PermitApplica ion MAY 2 V020
Planning and Development Services
Building and Code Regulation Division ( ST.. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMITTYPE: Storage Shed
PROPOSE.DIMPR01/E'MENTLOCATItON � # .�. .
Address: 4912 Amy Ln. Ft Pierce, FI 34946
Property Tax ID#: 1430-701-0009-9 Lot No. 1
Site Plan Name: Green Acres Unit 2 S/D Block No. 2
Project Name: Superior Shed permit .
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premanufactured 12x10 shed delivered and set
CONSTRUCTION`INFORMATION ' 4
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: 120 Sq. Ft.of First Floor:
Cost of Construction:$ 1800 Utilities: —Sewer _Septic Building Height:
� p< nF�..��.✓F,y'a�'`,'�U. 1�.; ..�-`,f�,�,� ��.;'�i�h y�a�lxa.f � ;�x � { r� di.�'�:s `� MISSION'" 3�5'£t t w wt y izl,h'Js fr`AWr: ;S*.
�01N�NER/LESSEE ti � �� �, � } M ,kCONTRACTOR , � r w
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NameGary/Sherene Drake fee silple title holders Name:Gary Drake ownerlbuilder
Address:/W Company:
City: p State:J!2t- Address:
Zip Coder t Fax: City: State:
Phone No. 5(�a `�z� – ��� Zip Code: Fax:
E-Mail: v i Phone No
Fill in fee simple Title Holde 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,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL¢CONSTR,UCTION.LIEN LAW AT
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 SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOJJR LfJOER AN ATTORN BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signa re of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SA. COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this QA day of W,94 ,20a h by this day of ,20_ by
C-Io, cy4 ti fakes
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
"+a
DEANNA MARIE GIVENS
(Signature of Notary PdWI :fit i .Flo S:December 16,2020 ' (Signature of Notary Public-State of Florida)
...t4"'• Bonded Ttuu Notary Public Underwriters
Commission No. a Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.2/7719