HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/20/18 �,Izp�Qn� Permit Number:lSnL 0 S
Building Permit Application
Planning and Development Services FEB 2 t 2918
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Parr
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Resic elrtla
PERMIT APPLICATION FOR: Shed DCA
PROPOSED IMPROVEMENT LOCATION:
Address: 900 N ROCK RD
Legal Description:
Property Tax ID g: 2311-210-0000-000/6
Site Plan Name:
Project Name: SLC Maintenance Shed
Setbacks Front Back: Right Side: Left Side:
Lot
No.
I DETAILED DESCRIPTION OF WORK: III
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dr"'Atwo . Wi'i'h ��eclriL
I CONSTRUCTION INFORMATION: I
Muwuunniwuinwuc
�HVAC
lGUll eu
Gas Tank
waaci uu�pcnnn—wc6n
au
Gas Piping
apply.
Shutters
❑ Windows/Doors
Electric Plumbing
❑Sprinklers
GeneratorRoof
Roof pitch
�,
Total Sq. Ft of Construction: oC15
S Ft. of First Floor:?Q
Cost of Construction: $ /5-00.
Utilities:i
Sewer
Li Septic
Building Height:
OWNER/LESSEE: ICONTRACTOR:
LUCIE COUNTY / ,Jcreejni aH J otioso Al
Name:
_NameST
Address:2300 VIRGINIA AVE — -- - -- - --_ _ _ _
_Company:
City: FORT PIERCE, State:FI
Zip Code: 34982 Fax:
Phone No.
_
Address:
City: State:_
Zip Code: Fax:
Phone No.
E-Mail:ClasbyJ@StLucieCo.Org
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail:
State or County License:
If value, of construction is $2500 or more, a RECORDED Notice of Commencement is required.
LIEN LWINFORMATSUPPLEMENTAL CONSTRUCON
ION= -
-,:
DESIGNER/ENGINEER:
Name: ST LUCIE COUNTY
_X_ Not Applicable
MORTGAGE COMPANY:
Name:
x Not Applicable
Address: Snn N ROCK RO
Address: 23GO VIRGINIA AVE
City: FORT PIERCE,
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_)e Not Applicable
BONDING COMPANY:
Name:
IC Not Applicable
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 our Notice of Commencement.
Signature ofOwner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 5•>LLa&
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 2,& day of _ ab('Or� 20A_S by
this _ day of 20_ by
TerGMiah Joi'(-'Son
Name of person making statement
Name of person making statement
Personally Known ✓ OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
W/&C=14
Produced
-
Signatur/ of Notary
(Signature of Notary Public -State of Florida )
1C'f'Y MELISSAS. BOEC EL
Commission No. " Commisslsa 9476
Commission No. (Seal)
" 4" EXPIMSApd1S,2020
-fir 9"I1?1475 -__
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
VIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17