HomeMy WebLinkAboutShed Permit Notorized application 322021All APPLICABLE INFO mux . . . . . "I �� 11 11
Date: 2/8/2021
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Divisifon Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FORDavid George
PROPOSED IMPROVEMENT LOCATION:
Address: 4707 Eagle Drive
Property Tax ID #: 1312-801-0042-00016
Site Plan Name: Shed
Project Name: Shed 2
Lot No. 239
Block No.
IDETAILED DESCRIPTION OF WORK:
A shed built by Superior Sheds to be deliverd and setup. I-l-r re -
New Electrical Meter
Second Electrical Meter
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -heck all that apply:
—Mechanical Gas Tank — Gas Piping Shutters Windows/Doors Pond
— Electric Plumbing _ Sprinklers — Generator Roof Pitch
Total Sq. Ft of Construction: 120 Sq- Ft- of First Floor:
Cost of Construction: $ $3,3W_00 Utilities: — Sewer _ Septic Building Height: 10' Feet
OWNER/LESSEE:
CONTRACTOR:
Name David W George and Cheryl A George
Name:
Address: 4707 Eagle Dr
Company:
City: Fort Pierce State:
Zip Code: 34951 Fax:
Phone No. 386 397-5414
Address:
City: State:
Zip Code: Fax:
Phone No
E Mail-..dw9e0r9e12()4(ftmaif-c0m
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail
State or County License_
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 Cawanx-mcement is requked.
DESIGNER/ENGINEER: Not
Name: Super or sheds
AddreSS;6165SUS 7
City: Feder State: FL
Zip; 34962 Phone 772a6o-a600
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
f; a
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
-
BONDING COMPANY.
Name:
Address:
City: City
Zip: Phone: Zip:
Phone:
Not Applicable
State:
,Not Applicable
OWNER/ CONTRACTOR AFFIt Vflr= Application is hereby madeto obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issue 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 concurrence 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 lender or an attornev before corr mencine- work or recordine vour Notice of Commencement_
avid.g orge2 Oak: 202102.09 ®1] 35 -0500'
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Bolder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF .L _ 0
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
Physical Presence or Online Notarization
this) o day of 1:'a 13r u a -12W by
this day of 2020 by
Z a2r
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification x
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced F1 or: ✓fir:✓ " L: c-ar
Produced
(Signature of Notary Public- State of Elr�ida ��� ` aV�� gti �PS�°'
(` €e of Public- State of Florida)
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Commission No. G� i e, 3 7 Se�!$a��` Apra°`
Commission No. (Seal)
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REVIEWS
FRONT
UPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
II "``•
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. SI6125