HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
ST. LC.ICIE
COu NT'Y
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F `O R 1 D A
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Permit
Number: �, . b/ 1 • b0 c '
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
230D Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential X
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 5901 Silver Oak Drive Fort Pierce, Florida 34982
Property Tax ID #: 3402-607-0202-000-2 Lot No. 49150
Site Plan Name: Casey Family Home Block No. 20
Project Name: Pre -Fabricated Storage Building
DETAILED DESCRIPTION OF WORK:
Installation of pre -fabricated metal framed storage shed, dimensions 12' x 30', No Concrete Pad, No Electric
Installed on ground supported blocks - Anchored with 6 EA Auger Style 5/8" x 30", Tie Down Strap bolted to ground anchor
with 1/2" grade 5 bolts minimum with washers also continuous and attached to ground anchor on opposite side
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters Windows/Doors _ Pond
_ Electric _ Plumbing
Total Sq. Ft of Construction: 360
Cost of Construction: $ 9100.00
_ Sprinklers _ Generator _ Roof Pitch
Sq. Ft. of First Floor: 360
Utilities: —Sewer _ Septic Building Height: 9'
OWNER/LESSEE:
CONTRACTOR: ;
Name William & Beth Casey
Name: Qfj 157
Address: 5901 Silver Oak Drive
Company:
City: Fort Pierce State: _
Address:
Zip Code: 34982 Fax:
City: State:
Phone No. 772-201-3473
Zip Code: Fax:
E-Mail: bill@caseyfunding.com
Phone No
i
E-Mail
Fill in fee simple Title Holder on next page (if different
from the owner listed above)
State or County License
I
if value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLE'MENTALCONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:— Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: X 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted he 'obsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorxfev tar commencine work or recordine vour Notice of Commencement.
Signature of Owner/ Lesse /Contractor as Agent for er
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFF % lifl L/
COUNTY OF
Swor,p,to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Presence or Online Notarization
this .6 day of N ttl Xf 2020 by
this day of 2020 by
001111A-M ' aleV
Name of person making state ent.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Ty p f Identification
Type of Identification
d ed
4(Siature
Produced
of Not Public- State o Fljj?a:)':
•„ Notary Public -State
5l�n ure of Notary Public- State of Florida )
f F n
Commission a GG 139932
Commission No. My Comm. Expires Apr
tC sion No. (Seal)
Bonded through National N
tary Assn.
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