HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:,11/05/15 Permit Number: 15 It ,0®q(
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Building Permit Application
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 Residential X
PERMIT APPLICATION FOR: Shed.DCA
17:
PRt1OSED IM?RC�1/EMtIT�`t.OGA`�4fl #
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Address: 124 SE Lucero Dr Port Saint Lucie FI. 34983
Legal Description: River Park Unit 7 Block 71 Lot 4 (Map 24/28S) (Or 3393-1153)
Property Tax ID#: 3419-550-0127-Ml Lot No.4
Site Plan Name: Block No. 71
Project Name:
Setbacks Front92 ft Back: 10 ft Right Side: 71 ft Left Side: 10 ft
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DETAILED DESRIPT,;ION 1t1/0RK k n �t a
rt a m v e f d 4 4� f l� t ?�tw1Wr,� yt p5 �..
Install pre-built DCA 8X12 Shed
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CO[ STRUCTION INFfORMATION
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Additional work to be nertormed under t ispermit—check,all that appy:
HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric ❑Plumbing 0Sprinklers El Generator Roof
Total Sq. Ft of Construction: 96 S . Ft.of First Floor: 96
Cost of Construction: $.2000 Utilities:— Sewer Septic Building Height:.8
;�CONTRAC�TOR
NameJohn M Mackanics Name: Same as Owner
Address:124 SE Lucero Dr Company:,
City: Port Saint Lucie State:FI Address: ' .
Zip Code: 34983 Fax: City: State:
Phone No.570-857-0626 Zip Code: Fax:
E-Mail:marbiez@hotmaail.com Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County Licenser
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUP'PL`EMENTAL CONSTRUCTIQN LIEN LAW II�` bRMATION
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE.COMPANY: Not Applicable
Name: SeeMarhed Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: . 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 buildingperm-rt 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.
s
ature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF z:A-- .s> COUNTY OF �w _
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this S day of I)oJ 20
-by- this day ofy ,20 by
(Name of person acknowledging) (Name of person acknowledging)
tgnature of Notary-Public- tate of Florida) (Signature of Notary Public-ftate of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. HNA INGRAM Commission No. (Seal)
o4Ppv�V9�iii
2 , Notary Public-State of Florida
MY L'U111111.
Revised 07/15/201 ' commission#FF 177249
%E ° �` Bonded through National Notary Assn_
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS