HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Applicatio
Planning and Development Services ST. Lucie County, 7Perm�Ittinc,
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: INSTALLATION OF 30 X 41 SHED
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Address: 3803 S. Indian River Drive, Ft. Pierce, FI 34982
Property Tax ID #: 242644200010009
Site Plan Name: KRASZEWSKI RESIDENCE
Project Name: KRASZEWSKI SHED
DDESCRIPTION CIFLWOR DET, ILE"K*
INSTALLATION OF 30X41 SHED
New Electrical Meter Second Electrical Meter
CONSTRUCTION INF
Lot No. —
Block No.
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: 0 51� Sq. Ft. of First Floor:
Cost of Construction: too Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE
CONTRACTOR
0 TO
Name David Kraszewski
Name:
Address:3803 S. Indian River Drive
Company:
City: Ft. Pierce, Florida State:
Address:
Zip Code: 34982 Fax:
City: State:
Phone No. 954 560-4383
Zip Code: Fax:
E-Mail: david.primaryelectricggmail.com
Phone No
Fill in fee simple Title Holder on next page (if different
E-Mail
from the Owner listed above)
State or County License
It 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.
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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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lendex-or an attornev before commencing work or recording vour Notice of Commencement.
Signature of Owner/ L see/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ��I rU
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribe efore me of
1l Physical Presence or Online Notarizati
Physical Presence or ine Notarization
this ?=� day of AVAC 2020 bywi,
this day of 2020 by
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Name of person making statement.
Name of person mak' g statement.
Personally Known ✓ OR Produced IdentificaPersonally
-isType•
Know OR Produced Identification
of -Identification
Type Gf-ldenti 'cationroduced
Produced
(Signature of Notary Public- State of Florida)
ure of Notary Public- State of FloridaCommission
No.�—� 0��0 (Seal)
5�=ssion
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REVIEWS
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MANGROVE
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REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
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RECEIVED
DATE
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