HomeMy WebLinkAboutShed Slab Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/8/2020
COUNTY
F 1 0 R ! r
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
Commercial Residential X
PERMIT TYPE:Concrete Slake for Shed
PROPOSED IMPROVEMENT LOCATION:
Address: xxxxx Seminole Road, Fort Pierce, FL
Property Tax ID #: 1326-800-0006-0002
Site Plan Name: Papaya Grove
Project Name: Suchon Residence
DETAILED DESCRIPTION OF WORK:
Concrete Slab for Shed
CONSTRUCTION INFORMATION:
Lot No.5
Block No.
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:
Cost of Construction: $
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameThomas & Susan Suchon
Name: Ryan Davis
Address: 10879 SW Dalton Ave
Company: Synergy Homes, LLC
City: Port St. Lucie State: _
Zip Code: 34953 Fax:
Phone No.772-834-0008
Address:3950 RCA Blvd, Suite 5000
City: Palm Beach Gardens State: FL
Zip Code: 33410 Fax:
Phone N0561-623-0476
E-Mail:tomsuchon@yahoo.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Maildeanne@synergyhomesf1.com
State or County License CBC1 254289
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.
DESIGNER/ENGINEER, Not Applicable MORTGAGE COMPANY: Not Applicable
i
Name:
Address: / cf �ci Address:
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City: r, State: f Z-: 1 City:
Zip: 3;,-f (3 Phone (1- 2 9 q-&_4 4 Z9 ° Zip: Phone: State:
FEE SIMPLE TITLEHOLDER: ____ Not Applicable
SONDiNG COMPANY: Not Applicable
Name: S"4- eu
Name:
Address:
� Address:
City:
City.
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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
"WARNIM TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT NII YOUR PAYING
f 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 OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signat rere of Owner/ Lessee/Contractor as Agent for Owner
Signature oftontractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF PALM BEACH
COUNTY OF PALM BEACH
The f- ing instrurWt was acknowledged before me
this ay of %� 20by
ii� The f ping instrument was acknowledged before me
this day
of d+r,r rT t 20by I
Rya
L�C_ur
.,, i s
I Name of person making statement.
rl
Name 6f person making statement,
I Personally Known OR Produced Identification
Personally Known �!'/ OR Produced Identification
Type of Identification
- -
Type of identification
P duced
Produced
(Signature of Nota
mature of Notary ubii S _
DE.
E L, JOHNSON
Commission No. +s� tSSt4)N# ,
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Commission No.
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1712021
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW
PLANS VEGETATION SEA TURTLE MANGROVE
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