HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/19/2018 SCANNEDPermit Number:
- qt I_ ucip County RECEIVED
Building Permit Application FEB 2 0 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Shed site built
El
PROPOSED IMPROVEMENT LOCATION:
Address: 6907 Plumosa Lane, Fort -Pierce, FL 34951
Legal Description: LAKEWOOD PARK -UNIT 11- BLK 149 LOT 18 (MAP 13/12N) (OR 1340-1333)
Property Tax ID #: 1301-613-0287-000-4 f Lot No. 18
Site Plan Name: Block No. 149
Project Name: Ronald Lafferty i
Setbacks Front Back:_ Right Side: Left Side: 10' 4"
DETAILED DESCRIPTION OF WORK:.
Construction of a light duty storage shed
i - �{
[CONSTRUCTION INFORMATION:
Additional work to be nerformed under this permit_7 c ec
a
apply:
a
❑HVAC
Gas Tank
❑Gas
Piping
_
Shutters
Windows/Doors
❑ Electric Plumbing
❑Sprinklers
❑ Generator
RjRoof 412 Roof pitch
Total Sq. Ft of Construction: 160
S . Ft. of First Floor: 160
Cost of Construction: $ 850.00
Utilities:ll
Sewer ❑Septic
Building Height: 12' 8"
OWNER/LESSEE:'
CONTRACTOR:
Name
Name:
Address:
Company:
City: State:
Address:
Zip Code: 3 Fax:
City: State:
Phone No. ��a•.�i0�✓•�gq
Zip Code: Fax:
E-Mail:
Phone No.
Fill in fee simple Title Holder next page ( if different
E-Mail:
from the Owner listed above)
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
MORTGAGE COMPANY: _ Not Applicable
N a m e: T.E.'Schl'dt Engineering, LLc
Name
Address: 1575 Indian River Blvd. Suite G210
Address
City: Vero Beach State: FL
City: State:
Zip: 32960 Phone (772)501-3372
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
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
commencing work or recordine vour Notice of Commencement.
r see ractor as Agent for Owner
Signature of =IDA
Signature of Contractor/License Holder
STATE OF
STATE OF FLORIDA
COUNTY OF `,��C,1
COUNTY OF
The forgoing instrurr�` At was acknowledgeApefore me
The forgoing instrument was acknowledged before me
this � ay of , 20 by
this day of , 20_ by
Name of person making stateme t
Name of person making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of IdentiftEation
Type of Identification
Produced
Produced
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
""" KA(tJM) S. N I E LS E N
Commission No. ,`',RY Pam.,,
Commission No. (Seal)
3 Commission # FF 11 5637
_. .:
a My Commission Expires
June 12, 2018
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tev. 8/2/17