HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO M
Date: ; % — 0'
E COMPLETED FOR APPLICATION TO BE ACCEPTED
0
Permit Num
Building Permit Applicatio
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
p, I
REC IVED
OCT 3 Q 21118
Permitting Department
St. Lucie County, FL
esl en la
PERM ITIAPPLICATION FOR: Shed site built SCANNED
BY
PROPOSED IMPROVEMENT LOCATION:.
Address: 5300 NW Dunn Road, Fort Pierce, FI 34981
Legal Desclription: White City S/D 05 36 40 N 1/2 of lot 118 and that part of N 1/2 of Lot 119 LYGWLY of Canal -less S 150 ft
and less Rd RM - (2.50 AC) (MAP 34/05S) (OR 3078-1458)
Property Tax ID #: 3403-502-0209-000-2
Site Plan Name:
i
Project Name: Shed
Setbacks Front 261.29' Back:
Right Side: 16.13 ' Left Side:
Lot No._
Block No.
DETALLEESCRIPTION'OF WORK; _ _ 0h ��
24' x 26' teel storage Shed with concrete slab alon with 24' x 16' carport.
_ i1 t° TNT o✓E�z,awNb,fl�►c�
CONSTRUCTIO FORMATION: 50
itional workto be nertormed under this hermit —check all apply:
UHVAC U Gas Tank uGas Pi
Electric 0 Plumbing OSprinl
Total Sq. Ft of Construction: �0
Cost of Construction: $ V V 11
560 L9
ing Shutters Q Windows/Doors
2rs F]Generator Roof Roof pitch
S Ft. of First Floor:
Utilities: _Sewer —Septic Building Height:
OWNER/LESSEE:'-CONTRACTOR:
.
Name Robert Schooley
Name: Opener Builder
Company:
Address:
Address: 5300 NW Dunn Road
City: Fort Pierce State: FL
City: State:
Zip Code: 34981 Fax:
Phone No. 772-215-4635
E-Mail: schooley72@comcast.net
Zip Code: Fax:
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 of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTIO;IV LIEN LAW INFORMATION;
DESIGNER/ENGINEER: _ Nbt
Applicable
MORTGAGE COMPANY: Not Applicable
Name: Bechtol Enginering and Testing, Inc.
I II
_
Name: HomeBridge Financial Services, Inc.
Ad d ress: 605 West New York Avenue
Address: 194 Wood Ave South, 9th Floor
City: Deland
State; Florida
City: Iselin State: NJ
Zip: 06630 Phone:
Zip: 32720 Phone
' I
FEE SIMPLE TITLE HOLDER: _ N t Applicable BONDING COMPANY: Not Applicable
Name: i Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT: Aplilication is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has com enced prior to the issuance of a permit.
St. Lucie County makes no representation tha is granting a permit will authorize the permit holder to build the subject structure
is in conflict Home Association bylaws that restrict or such
which with any applicable wners rules, or and covenants may prohibit
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
I
WARNING TO OWNER: Your failure to �ecord 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 inte 'd to ancing, consult with lender or an attorney before
4i
commencingwork r recordin ourotic encement.
ORature=of @wner/ see/Contractor as Agent
f
r Maer
natuFOR'.Cod- ractor/License Hol er
a xc
4
S ATE OF FLORIDA
z m� 9
MN c3
STA OF FLORIDA
COUNTY OF
d
COON OF
sZ
efor �.,, =
The forgoing instru nx was acknowledge
The for oin i trument was cknowled ed before me
g g g
this Oday of C 20
by - o
this day of 20_ by
e�
� N
Name of person making statement
Name of persp&naking statement
�/
Personal own OR Produced Identification
Personally Known R Produced Identification
Type of denti i tion
Type of Identificatio
Produced i
Produced
r
(Signature'of Nota Public- State of Florida)
(Signature o Notary Public- State of Florida
i
Commission No. (Se
I
1)
Commissi No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLA
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
RE
REVIEW
REVIEW
REVIEW
DATE
RECEIVED'
DATE
COMPLETED
Rev. 8/2/17
I