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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr Ago f� ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICA1111: N TO BE ACCEPTED Date: _ .- r�E�'�°"° �-, ., . � Permit Number: c zp Building Permit Application , 1? Planning and Development Services DEC 1 � as Building and 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 I.m'PROVEMENT LOCATION Address: 5714 SILVER OAK DR FORT PIERCE, FL 34982 Legal Description: INDIAN RIVER ESTATES -UNIT 06-BLK 21 LOTS 11 AND 12 (MAP34/11 N)(OR 3952-1326) Property Tax ID #: 3402-607-0214-000-9 Site Plan Name: 40X60X15 STEEL BUILDING 1/f /C0 n C t2 e+c Lot No. 11 & 12 Block No. 21 Co VNcxe--'� L o \ �\ �o -2 .SCQWQ_.' S �ze, cyf- 6 C't 6�un . CONSTRUCTION• IN;FORMV ATION .. r. Piping Shutters HVAC Additionalworkto a performed under this permit — c ec a apply: OGasTank❑Gas _ ❑ Windows/Doors . ❑ Electric ❑ Plumbing []Sprinklers ❑ Generator ❑ Roof Roof pitch Total Sq. Ft of Construction: 2400 S . Ft. of First Floor: 2400 Cost of Construction: $ 35,000 Utilities:ll Sewer ❑ Septic Building Height: 15. .:01NNERJLESS'EE ? ` CONTRACTOR:; Name ��% °Ik C` � s N Name: . lrema.b r Address:_]/ �1 /,.�1/G� �� City:%O/?7� �l �/t�CL` State: FL Zip Code: c o� Fax: IV�/i Phone No. J 6 l — 7s�` 33 a Company: Address: I:ez r_ ��,v IAIli jl.�r,•, %pi�� City: Oe5lk 64, & Zip Code: L5�a 7 Y% State: Fax: /V 14 E-Mail: Aat Phone No. 3,n— (?7S— 5 7 V 9 Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: a,jYe4-e-C,,)n SAJti27a-,,L ire W17d7117,r4,; State or County License: rC?C / 5 4/ 07V1 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. S-UPPLEMENTAL CONSTRUCTION 'INN LAVA DESIGNER/ENGINEER:: Not Applicable Name: Mi Cha el ice(u a Address. p�AA CII \/FR n4k' ;,; , R'GE o NL-! City: 66Z-171- Q State: rZ` Zip: 3273-0 Phone L f73q—©�� FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: Zip: Phone: OR•MATIOIV:. - MORT(i;tf at"y :c. f,o,-"o� `!V- Not Applicable Name: Address: City: -State: Zip: Phone: BONDING COMPANY: )LNot Applicable Name: Address: City: 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 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 financing, consult with lender or an attorney before rnmmanrina Wnrlr nr rarnMina vni it NntirP of rnmmPnrPmPnt- oLqf— "�` .� Signahlre of Owner/ Lessee/Contractor as Agent for Owner:. Signatur of Contractor/License Holder STATE OF FLORID STATE OF FLORIDA COUNTY OF OwSIR COUNTY OF VQ wSYA- The forgoing instr m n was acknowledged before me this �"day of 2.i 2017 by The forgoing instrument was acknowledged before me this .3f day of 0Lr be. - 20L by ��V&-s-D X�r,h 671-e-MC Name of person making statement Personally Known OR Produced Identification N e of person making statement Personally Known OR Produced Identification x Type of Identification Produced b k\ L; Type of Identification_ Produced /2 lr� Li (Signatu of Notary Public- S to of Florida) (Signatur of Notary Public- St - Commission No. D g (Seal) STACEY MCDANIEL Commission. No. -% "OfSSION #GG108478 ., 213on EXPIRES: MAY 25, 2021ded through 18t State Insurance REVIEWS FRONT ZONING SUPERVISOR PLAN VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIfJ REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17