HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �
Date: ��• 17 Permit Number: / ] // /
41111111111 Building Permit Application ECE.1V®
Planning and Development Services OCT 2 3 2017
euildingond Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Shed site built
PROPOSED IMPROVEMENT LOCATION:
Address: 8207 PENSACOLA RD., FT. PIERCE, FL. 34951
Legal Description: LAKEWOOD PARK UNIT 6- BLK 58 LOTS 9 AND 10 (MAP 13/02S)(OR3814-1536)
Property Tax ID #: 1'301-606-0041-000-6
Site Plan Name:
Project Name:
Setbacks Front 51.38 Back: 50.09
Right Side: 21.96 Left Side:
Lot No. 9/10
Block No. 58
I DETAILED DESCRIPTION OF WORK: I
30X40X14 ENCLOSED STEEL BUILDING ON CONCRETE
brI a" k 00 rnu2 -Y C 1 rio'7- L9_?gq
CONSTRUCTION INFORMATION:
itona wor to e e orme under this permit — c ec a,,[! apply:
i EJHVAC E] Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
Electric Plumbing []Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 1200 S Ft. of First Floor: 1200
Cost of Construction: $ 19,040.00 1 Sewer ElSeptic
Building Height: 17' 91/2"
OWN ER/LESSEE: BRYAN BELLAMY
CONTRACTOR: OWNER
Name BRIAN BELLAMY
Name: 0010M
Address: 8207 PENSACOLA RD.
Company:
Address:
City: FT.'PIERCE State:FIL
Zip Code: 34951 Fax:
Phone No. 772-643-3283
E-Mail: BRYANBELLAMY@ATT.NET
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
City: State:
Zip Code: Fax:
Phone No.
E-Mail:
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL.CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: BECHTOL ENGINEERING
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 605 W NEW YORK AVE.
Address:
City: DELAND State: FL
Zip: 32720 Phone: 386-734-8444
City: Stater
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before, the first inspection. If you intend to obtain flpryaricing, consult with lender or an attorney before
commencine work or recordine vour Notice of Comfencement.
��ilv Ax'&Jl�V
• e es e or s Agen or • ..7,11wal
STATE OF FLORIDA A��
COUNTY OF u
The forgoing instrutDent was acknowledged before me
tl i of 20I—Lby
s Z[a.M�
(Name of.person acknowledgI )
(Signature of to Public -_State o Flori a
Personally Known
Type of Identification Pro ub ayA'•.- sTArva IOrsnnnl�sr�rva��prsnn�
Commission
Revised 07/ 15/2014
s
Signature of Contractor/License Holder
STATE OF FLORIDA.
COUNTY OF
The forgoing instrument was acknowledged before me
this day of , 20 _by
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
onally Known OR Produced Identification
of Identification Produced
MY COMMISSION # FF 156848
E�11BGS. September29, 2018 Commission No.
Bonde�d"rTrt�ru Notary Public Undewi ters
(Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
I I
INITIALS
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