HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number,
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M ,. Building Permit Application
Planning and Aeveloi Vent Services
Building and Code.Regulation Division Cammercia i Residential
2300 Virginia Avenue,Fort Fierce FL 3402
Phone:(772)4624.553 Fax:.(772)462-1578
PERMIT APPLICATION FOR: Janice Robbins
PROPOSED IMPROVEMENT LOCATION: 02 Avenue J Fort Pierce, FL 349
Address: 41
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PropertyTax ID#: 2405-701-0084-000-3 Lot No, 21
Site Pisn Name: _ _ 6incic Na. 41
Project Name: Robbins Shed
I]ETAILEI] DESCRIPTION OF WORK' Install PREFABRICATED Storage Shed 8'x8'
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 _Sprinklers _ Generator Roof Pitch
Total Sq.Ft of construction: 64 Sq.Ft.of First Floor:
Cast of Construction:$ 2,980.00 Utliltles: Sewer Septic Suilding.Height. 7'q"
OWNERJLESSI E: CONTRACTOR:
Name. Janice el Name•TamSourey
Address: 3502 Avenue J Company:Tuff Shed.Inc.
city: Fort Pierce State,FL 4ddress:1M 8,Harrison S�Suite 600
Zip Code,• 34947 Fax: City: Denver State:CO
Phone No, 772-83474971 2ip.code:.80210 Fax: �03-474-5525
E-Maii: _ irob1959@yahoo.com phone No303-474-5524
Fill!in.fee simple Title Holder on next page.(it different E-Mail lirenses@tuffshed.com
from the O+ivner listen above) State,or County License CBC1253845
tf value of construction is zwor more,.a REcmw Notice of commemement ir.required.
If valve of HAVC is S7,5(1tf or nwre,a RECDRUED Dive of Camrnencement is required.
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SUPPLEMENTAL CONSTRUCTION UEN LAW INFO. RMATIOW.-
DESIGNER/ENGINEER: _.Ntrt Applicable MORTGAGE COMPANY: ___.Not Applicable
Name:w"wes Name:
Address:lms.HoM=SU rl. 600 ! Address:
City, o State: co City: State:
Zip: M210 Phone 30&4T445za Zip: Phone,
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Fly£5[MPLE TITLE HOLDER- _ Not Applicable i BONDING COMPANY* —Not-Applicable
Name: - - Name.
Address: { Address.:
City: City:
Zip`. Phone: Zip: Phone-
OWNER/CONTRACTOR.AFFI.DVIT:Application is hereby made to obtain.a permit to do the worst and€nstailation at-indicated.
I certifythA no work or installation has commenced prior to the issuanci°.of a permit.
5t.Lucie Countymskes no'representation that is granting a ppermit will aathorixe.the permit holder to build the subject-structure
which i3 In on let with any applicable Home Owners Association rules,bylaws or and owenant5 that may restrict or prohibit such
structure.Pease consult.with your Home Owners Associatton and.review your deed for any restrictions which may apply.
In consideration of the granting of this.requested permit.)do hereby agree that l will,in all respects.,perform the work
in accordance with the approved plans,the Florida Suliding 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 accessary uses to another non-residentlal.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 Caunty and posted on the jobsite before the first inspects . if you intend.to obtain financing,consult
with lender or an attornev before corrimencing work or recut vour Notice of Commencement.
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WE
re o. Cliwner/Lessee/Contractor as Agent for Owner Signal re ontractar/. a Ha€der
I. OF FLORIDA STATE OF COLORADO �
COUNTY OF C COUNTY OF
Sworn to.(or affirmed)and sutr�tribed before me of � swarn.to for affirmed)and.subscribed before me of
1/ r ysical Presence or . Online N tariiation - cat Presence or Online Notarization
i this .. day of y! 2,02� by this aV.of A4wm by
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Tom-%kWW i
Name of person making statement. l Name of person malting statement.
Personally Known OR Produced Identifrca Personally Known.x OR.Produced Identification
Type of Id of€cation m x x
m Type of.Identifcation
Produce tts 4L_D(iqts` L [_+r � n--
S� va Produced+ +
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[signature of Ny Public-State of Florida} ti /Omission
gnature of otary Public-Statepf Colorado.)Commission No.��'��514
(5ea1) - No. (Seal) z:
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RtVlEWS FRONT ZONING S . PLANS VEGETAT€ON SEA TURTLE MA
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW.
DATE
RECEIVED
DATE l
COMPLETED
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