HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAILL IAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: September 3, 2018 Permit Number: l '000&�
RECEIVED
OCT 0 gf2018
Building Permit Application permitting Department
Planning and Development Services St. Lucie County
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: s
To Select from dropbox, click arrow at the end of line s��;1���-�.�
MAP
PROPOSED ;IMPROVEMENT LOCATION: "'
�:�+tl!�!ip�'t�u���l
Address: 5703 Oleander Ave, Fort pierce ,FL 34982
Legal Description: 09 36 40 S 1/2 of SE 1/4 of NE 1/4 of NE 1/4- Less S 165 ft of E297 ft- (3.78 ac) (OR 3520-2768)
1
Property Tax ID #: 3409-114-0004-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: 95 Right Side: Left Side: 22
DETAILED DESCRIPTION OF WORK:
Construction of a concrete slab for shed �2 Z'5-0
CONSTRUCTION 'I'N'FORMATION
Additional work to e a forme under this permit —check a apply:
11HVAC Ej Gas Tank []Gas Piping _ Shutters ❑ Windows/Doors
❑ Electric ❑ Plumbing Sprinklers ❑ Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: 2080 S Ft. of First Floor:
Cost of Construction: $ 9,000 Utilities: Sewer 11 Septic
Building Height: single story
OWNER/LESSEE: ',`
CONTRACTOR:
Name Nicholas & Heather Tubito
Name:
Company:
Address: 896 Woodlands Dr
Address:
City: Port St Lucie State: FL
City: State:
Zip Code: 34952 Fax: 772-465-9418
Phond No. 772-201-7162
Zip Code: Fax:
E-Mail: heather@tubitopainting.com
Phone No.
Fill in fee simple Title Holder on next page (if different
E-Mail:
from the Owner listed above)
State or County License:
n
II If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. I
I
00
SOPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Citiy: State:
Zip: Phone
City: State:
Zip: Phone::
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 recording your Notice of Commencement.
i
Signature of Owner/ Lessee/Contractor as Agent for
Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF St Lucie
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 1st day of October 20_ by
this day of 20_ by
Nicholas Tubito
a i
Name of person making statement
Name of person making statement
Personally Known X OR Produced Identificati
4k ''
Personally Known OR Produced Identification
Type of Identification
`
Type of Identification
Produced
co
Produced
(Signature of N tary Public- State of Florida)
: i '.
(Signature of Notary Public- State of Florida )
Commission No. FFzasoos (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
tev. 8/.2/17