HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONLL APPLICABLE INFO MUST BE CLI...,.IETED FOR APPLICATION TO BE ACCEPTED
Date: SCANN
BY ED Permit Number: V oa2j,(l--
St. Lucie County
RECE#VED
Building Permit Application
Planning and Development Services OCT 15 2o15
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: To Select from dropbox, click here
Utility room (shed)
PROPOSED 'INPRDVEMENT:LOCATION,-.
Address: 6723 Mar Pacifico
Legal Description: 6/7 34 39 All that part lying Northeasterly of
1-95
Property Tax ID #: i3nA_111_noni_oo0/0
Lot No. c;
Site Plan Name: Spanish Lakes Fairways
Block No. 6 4
Project Name:
Setbacks Front � .2,, Back: Right Side: 6 Left Side: _81—
DETA]LED'DESCRIPTib N o.rw-O R k-
Install three -wall iii-ilit)z room on existing c-oncrete,
under
existing pan roof_
CONSTRUCTION .IINFORMATION•
Additional work to be
�HVAC
OElectric
ertormed under this permit- check all apply:
Gas Tank []Gas Piping Shutters
El Plumbing []Sprinklers 0 Generator
1-1-Windows/Doors
11 Roof
11 Total Sq. Ft of Construction: .5 Ft of,First Floor:
Cost.of Construction:$ 3.200.00 Utilities.. Sewer[]Septic Bui I . ding Height:
Name mi rhaal Tri vi cnn - i
*Name: .Taff T,,InnAn
-Address:-6-7 23.Mar—Paci f ico-
_-CQmpan :_Master —Craf t_A17ifmdHu_MPr_0dd_C_t
,City_- FortzPierce
ZipCode: 34951 Fax'
No. 460-0466
State: FL
Address: 1634 SE Nierneeyr circ.
City.: •Port St.Lticie State: FL'.
Zip :Code:- 3 4 9 5 2 Fax: 335-1111
Phone No. 139-11 77
'Phone
E-Mall:
Fill in -fee simple Title Holder on next page;( if different
from the Owner listed above)
&M ail: talurninuni@qmail. com
—irfastercraf
State or County License: SCC131150586
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
i
S1jPPiENAENTAL:CONSTRLICTIONL1.EN ,LA1N ZNFORMAT]ON
wcololv�n/ cl.vllvcicn; _ rvot HppncaDle MORTGAGE COMPANY: x Not Applicable
Name: S„ncnna f- Al, F Name:
Address: 33630 SRf-h R1-- et- ] 0.1 LL Address:
City: C3earwatpr State: FT. City: State:
Zip: 33760 Phone: �27_S3?_o0o0 Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
x Not Applicable
BONDING COMPANY:
Name:
Address:
Zip: Phone:
x Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
Icertify 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.
Inconsideration 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 followingbuilding 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 vour Notice of Commencement
Sign r o e Agent/ Lessee
STA FLO A
COUNTYOF St. Lucie
The forgoing instrument was acknowledged before me
this I Tday of Rep} _ , 20L�Jby
Sign t o tr ctor/License Ho e
STA OF I : DA
COUNTY OF S ;
The forgoing instrument wasacknowledged before me
this 1]_dayofBeFt 20Uby
Jeff Jackman .Tpff .Tarkman
..(Name of person acknowledging) (Name of.person acknowledging)
Notary Publi -State of•Florida,) - . :(Signature. of Notary.Public-State of;Florida')
,.wn X .ORSpVd(dMSNKta$cMOORE PersonallyKnownO.R $Ft}ylrJRI
lftion
ficatiomP.roduc NOTARY PUBLIC ! Type of Identificati da^r"Ry PNB616 .-
iapn ca 1/.W/LV 10
Revised 07/15/2014
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