HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 9104.. 3
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential x
PERMIT APPLICATION FOR:
PROPOSEDI°MP2ROUiEMENT L`;®CATIO#N x' a k
Address: 309 Rosewood Drive, Fort Pierce, FL 34947
Property Tax ID #: 2407-801-0049-000-0
Site Plan Name: Sandalwood Estates Subdivision
Project Name: Utility Shed Addition
Lot No.20
Block No. D
DEl'AILED DESCRII?TION OF 1NORK`�¢ ��, � -s
Installation of a 10' x 20' shed
New Electrical Meter N/A Second Electrical MeterN/A
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1.
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: 200 Sq. Ft. of First Floor: 200
Cost of Construction: $ 6,666.10 Utilities: —Sewer _ Septic Building Height: 11 feet
OWNE:R/}LESSEE _
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xCOIVTRAGTOR �' • , r. •; a
NameJames B. Oppenborn
Name: Orlando Penner
Address:309 Rosewood Drive
Company: South Country Sheds
Address:1460 SW Price Childd Street
City: Arcadia State: FL
Zip Code: 34266 Fax:
Phone No(863)491-8700
City: Fort Pierce State: _
Zip Code: 34947 Fax:
Phone No. (772)801-4593
E-Mail:oppenborn@comcast.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailsales@southcountrysheds.com
State or County License
IT value or Construction is CbUU or more, a KtcUKUEU Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
S V RRlEMa?x;ENTAL GONST.RUCTION
LIEN LAW INFORIVIAl IOxN` r
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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:
— Not Applicable
BONDING COMPANY: x
Not Applicable
Name : James oppenborn
Name:
Address : 309 Rosewood Drive
Address:
C I ty : Fort Pierce
City:
Zip: 34947 Phone:(772)801-4593
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. 4 Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jAbsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney bef , e commencine work or recording vour Notice of Commencement.
re of Owner/ Less tractor as Agent for Owner
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Signature of Contractor/License Holder
OF FLORID II
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STATE OF FLORIDA
COUNTY OF
COUNTY OF
Swoyf'i 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 day of 'J W1 4�— 2e6 y
this day of 2020 by
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Name of person making��roduced
Name of person makingstatement.
�' `'• CAN
Personally Known I n
NotarpPo)II
' WW yq� I n wn V OR Produced Identification
t of� d t ication
Type of Identification Comminl
n�9Y15
Produced My Comm. Ex
it�B4XW=�i
Bonded through Niional
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Notary Assn. 11,
(Signature of Notary Public- Stat�e/ Florida)
(Signature of Notary Public- State of Florida )
Commission No. 66, 7a� (Seal)
Commission No. (Seal)
�x/7�/z�
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20