HomeMy WebLinkAboutBUILDING PERMIT APPLICATION-'S
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I 10/29/18 Permit Number: V -
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Jr �' RECFn/r
RECEIVED
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Building Permit Applicatioffr2 91019
Perm![oi+y �tr4Vnent Planning and Development Services Permitting Department St'.Lu�le Coun y
Building and Code Regulation Division Sk.Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:j(772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Shed site built
PROPOSED IM PROVEMENT LOCATION.
Address: 5207 Seagrape Drive, Fort Pierce, FL 34982 SCANNED
Legal Description: INDIAN RIVER ESTATES -UNIT 07- BLK 25 LOTS 42 AND 43 OY
(0.46 AC - 20,000'SF) (MAP 34/02S)(OR 755-2376:3322-2336; 3665-1076) LucieSt a
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Property'Tax ID #: 3402-608-0015-000-7
Site Plan Name:
Project Name:
Setbacks Front 25' Back:
49.9' Right Side: 18' Left Side: 49.7'
Lot No.42 and 43
Block No. 25
DETAILED DES"CRIPTION OF WORK. : `I
inpstruct 30' /X 50' metall garage/works1ho1p on concrete slab. 4//
EIHVAC H Gz
Electric
I
Total Sq j Ft of Construction:
i
Cost of Construction: $
L_I Shutters
0 Plumbing Elprinklers 1:1 Generator Roof Roof pitch
1,500
27,000
I] Windows/Doors
Sq. Ft. of First Floor:
Utilities: Sewer Septic Building Height:
`O,_WNER/LESSEE:
• ,.
.CONTRACTOR: `
Name Mark Worley
Name:
Address'.5207 Seagrape Drive
Company:
City: Fort Pierce State: FL
Address:
Zip Code : 34982 Fax:
City: State:
Phone No. 772 618-0629
Zip Code: Fax:
E-Mail:1 mpworley@outlook.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:
If value if construction is $2500 or more, a RECORDED Notice of Commencement is required.
INEER: x Not Applicable
Name: i
Address:
City: State:
Zip: i Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: I
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
DWNER/ 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
commencine work or recording vour Notice of Commencement.
Signaturie of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE;OF FLORID
STATE OF FLORIDA
COUNTY OF o
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
thisZLI day of dLr 20,4fby
this day of' , 20_ by
J;JD r!e
Name of person maki statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of lidentification
Type of Identification
Produced l� �--
Produced
(Signature of Notary Public- Vadeof Florida)
(Signature of Notary Public- State of Florida )
Commis Ision No. (Seal)
a r�,_
Commission No. (Seal)
_
REVIEWS
FRONT
ZONING
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PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW)
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REVIEW
REVIEW
REVIEW
REVIEW
DATE
30'`;m
RECEIVED
DATE
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COMPLETED
Rev. 8/2/17
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