HomeMy WebLinkAboutBuilding Permit Application ' ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLiCATI(i'V TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application ppR 19 2017
Planning and Development Services
Building and Code Regulation Division j
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR:
Shed site built
PRQPO:SED'IM:P ,E'MEN' T:LOCATION:
Address: 321 S ERIE DR.
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Legal Description: 33 34 40 SE 1/4 OF NW 1/4-LESS N 100 FT. LYG OF E OF E R/W CHEROKEE AVE EXT
Property Tax ID#: 1433-210-0003-000-9 j Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Fron Back: 18 Right Side, Left Side: 15
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DETAILED DES..CRIPTION OF 1NORK
BUILD 4 WALL SHED 10'6" X 7' UNDER EXISTING ROOF ��� I .S'+i1'1 &0 h.0
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CONSTRUCTION INFORMATION .
Additionalwork to be Dertormed under this permit—check. all apply:
�HVAC _Gas Tank Gas Piping _Shutters! ❑Windows/Doors
Electric ❑_Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S 4500.00 . Ft. of First Floor:
Cost of Construction:$ Utilities: _Sewer[]Septic Building Height:
NameK&D AFFILIATES INC. Name: CHARLES DEKKER
Address:314 S ERIE DR. Company:.EAST COAST ALUMIUM
City: FORT PIERCE State:FL Address: 913 EDWARDS RD.
Zip Code: 34946 Fax: City: FORT PIERCE State:FL
Phone No.461-1211 Zip Code: 34982 Fax: 772-464-7603
E-Mail: Phone No. 772-464-7600
Fill in fee simple Title Holder on next page(if different E-Mail: ECAPINC@HOTMAIL.COM
from the Owner listed above) State or County License: RB6028406
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If value of construction is$2500 or more,a RECORDED Notice of Commencement isi required.
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SUPPLEMENTAL_CONSTR'UCTION"LIEN-LAW'INFOkMATIO'N ,
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: SUNCOAST ALUMINUM ENGINEERING Name:
Address:13630 58 TH STREET N.SUITE 101 Address:
City: CLEARWATER State: FL City: State:
Zip: 33760 Phone: 727-532-9000 Zip: I Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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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.]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 your paying twice for
improvements to your property. A Notice of Commencement must be recorde,'d'and posted on the jobsite
before the first inspect�ion. If you inte t obtain financing, consult with lepder or an attorney before
commencing work. r/recordingycf I)Yo a of Commencement.
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Signat r O 63/Les ee/ nt' as gent for Owner Signaturc4of Contractor/LIB • e Hi er
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S i LUciE COUNTY OF QT. LuC I E
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The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me
this_Wday of Act, 20(7 by this
of �pri t 20 1-7by
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-1-nn//aar/es :7 �GKFe✓ CAar1s! X DeatiIk_w
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida ) (Signature of Notary Public-Statei of Florida )
Personally Known y/OR Produced Identification Personally Known I �OR Produced Identification
Type of Identification Prod pe of Identification Produced
"`B� DONALD M.HOLMAN
d�4P`iv PU
Commission No. '?° i• �, f Public-State of Florid ommission No. `.PPS P al) DONALD M.HOLMA
.•= Commission#FF 913240 ;_°. .": Notary Public-State of ri1-
=:`W My Comm.Expires Sep 20.201 '-•: :•= Commission#FF 913 a
Revised 07/15/2014 BonWftooNa�analNe u«.:
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE COMPLETE ' l Qb7
INITIALS
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