HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:- 2, �<�r- Permit Number: zoo-0
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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 X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PRO{`POSED IMPROVEMENT L`OCATIO`N 3
Address: 240 W Aldea Street
Legal Description: RIVER PARK-UNIT 3-BLK 31 LOT 4 (MAP 34/22S)
Property Tax ID#: 3419-515-0271-000-6 Lot No.4
Site Plan Name: Block No. 31
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK A'
S 3p� Y. 3 1L f °
Install 8x10 shed on property (9r-e_rr1N0�nU-Cac.J-1_Ar1ed)
CON;S,TRUCTIONsIIVFORMATION � ` 'a
Additional work to beMnerformed under this permit—check all that appy:
HVAC Gas Tank ❑Gas PipingMGenerator
Shutters Q Windows/Doors
11 Electric ❑ Plumbing Sprinklers Roof Roof pitch
Total Sq. Ft of Construction: a S . Ft.
Cost of Construction:$ 2500 Utilities: _Sewer wISeptic Building Height:
70WNER/LESSEE ze r CONTRCTOR
70*
Name Steven Ferry Name: Barry Higgins
Address:240 W Aldea Street Company: Higgins Brothers Construction
City: Port Saint Lucie State:F� Address: I_5Cp,
Zip Code: 34952 Fax: City: Port Saint Lucie State: FL
Phone No. Zip Code: Fax:
E-Mail: Phone No. '(—(-)— 2�`(
Fill in fee simple Title Holder on next page ( if different E-Mail: hbconst@gmail.com
from the Owner listed above) State or County License: CIMS 5L4L7t
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPIP LEMENTALCONSTRUCTION LIEN LA1J1/ INFOR=fVIATION
DESIGNER/ENGINEER: _ Applicable M GAGE COMPANY:~ Not Applicable
Name:Steven FerryName:Barry Higgins
Address:240 W Aldea Street Address: 240 W Aldea St
City: Port Saint Lucie Stat City: PortSaint Luci tate:
Zip: hone Zip: Phone:
FEE SIWIIE TITLE HOLDER: _ Not Applicable B DING COMPANY: _Not Applicable
N e: Name:
ddress: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT: pplication is hereby ma a to obtain a permit to do a 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
com encin o or recording our Notice of Commencement.
Signature o - r Less /Co Tactor as Agent for Owner Signatuof CA o ' oder
STATE OF FLORIDA4 STATE OF FLORIDA
COUNTY OF COUNTY OF /
The forgoing instruMnt was acknowledged before me The forgoing instrument was acknowledged before me
this I& day of 20,'4 by this--269 day of fit t' • 2�by
—Ba,l2 -C -t S 6t ode�- :L °
Navag of per oing statement N of person ing statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identifi on
Produced Produced �J;;�,/,�
,
(Signature of 61tary Public-State o (Signature of 66tary Public-State of orida
Y B.HUMPHREY
Commission ;P;a;•, AUDRE ®a 817 YP�.-
{d11SSI0N#( Commissi n;'. AUDREYB.HUMPHREYS al
2023 ( e
- EXPIRES March 6, ;*: t, MY COMMI N#GG 300817
"r PublicUnderv+rilers EXPIRES:March 6,2023
Q_
` •• FundBl�-fhru Notary a�ccsns sw`c��.Q
Ronded Thtu Notary Public Underwriters
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17