HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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-Date: 06/25/2015 Permit Number: /v v� ' 0415 1
RECEIVED
Building Permit Application
Planning and Development Services JUN 2 5 .2015
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:-78hed bCA
PROPOSED IMPROVEMENT LOCATION.
Address:1009 OSCEPLA DR FORT PIERCE;FL 34982
Legal Description: SORORA S/D LOT 16 (0.21 AC)(OR 1264-1102)
Proper#y Tax JD#: 3409-,801=0016-000-8 Lot No. 16
Site Plan Name: Block.No.
Project Name: }
Setbacks Front -'-.Back:
Rigfit:Sic�e:1 Left Side:
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DETAILED DESCRIPTION OF VVO`RKt
Place.10x12 storage shed manufactured by'Superior Sheds on concrete blocks and anchor in dirt.
CONSTRUCTION INFORMATION-
Additional work toe nertorme under this permit-check Ttt appy:
11HVAC 0GwTank Gas Piping _Shutters Windows/Doors
Electric Plumbing Sprinklers Generator Roof.
Total Sq'. Ft of Construction: 120 S . Ft.of First.Fnloor:
Cost of Construction:$ 2350.00 Utilities: Sewer LJSeptic Building Height:
OWNER/LESSEE ;CONTRACTOR:,_
Name Wylie Brown Name: Owner/Builder
Address:1009 Osceola Dr Company:
City: Fort Pierce State:FL Address:
Zip.Code: 34982 Fax: City: .State:
Phone No.772-341-5152 Zip Code: Fax:
E-Mail: 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$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN _LAVA INFORMATION: -
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Davis&Cleaton Engineering Inc. Name:
Address:260 Wekiva springs,Suite 1060 Address:
City: Longwood State: FL City: State:
Zip: 32779 Phone: 407-5392-353 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: city:
Zip: Phone: Zip: Phone:
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 exemptfrom 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 Notic encement.
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_Signa'r eVoffTO r' Lessee/Agent S 5 Signature of Contractor/License Holder
STATE OF FLORIDA �mQo STATE OF FLORIDA
COUNTY OF �us COUNTY OF
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The forgoing in ru t was knowledged befor rtre�T The forgoing instrument was acknowledged before me
C�T S
this�day of 2glJby gA this day of 20 by
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(Namelof person acknowledging) (Name of person acknowledging)
(Signature otary Public-State of Ffbrida) U (Signature of Notary Public-State of Florida)
Personally Known oduced Identification ✓ Personally Known OR Produced Identification
Type of Identification Produce Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS