HomeMy WebLinkAboutSHED LESS THAN 144 SF ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/15/2016 Permit Number: d1�d3aa
. RECEI ,' 7D.JUL 15 2015
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 XXXXXX
PERMIT APPLICATION FOR: Shed DCA
PROPOSED IMPROVEMENT LOCATION:
Address: 2726 Gentile Rd
Legal Description: Attached Document
Property Tax ID#: 2322-413-0002-000-7 Lot No.
Site Plan Name: N/A Block No.
Project Name:
Setbacks Front 600' Back: 270' Right Side: 123' Left Side: 123'
DETAILED DESCRIPTION`FOF:WORK:'
Setting an 8'X8' Lark DCA Shed on my property adjacent to rear kitchen porch near the SE corner of
structure. Anchored with Auger Hold Downs. Engineering docs attached.
CONSTRLICTION:INFORMATION
Additional work to be nertormed under this permit—c ec a appy:
HVAC _I Gas Tank Gas Piping _
L_ Shutters Windows/Doors
Electric 0 Plumbing Sprinklers I Generator 1:1 Roof
Total Sq. Ft of Construction: C Sq. Ft.of First Floor:
Cost of Construction:$ �(� Utilities:0 Sewer Septic Building Height:
OWNERjLESSEE: CONTRACTOR:
Name John Croft Name: Self
Address:2726 Gentile Rd Company:
city: Fort Pierce State:FL Address:
Zip Code: 34945 Fax: City: State:
Phone No.561-319-3423 Zip Code: Fax:
E-Mail:jhcroft@bellsouth.net 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 LAW INFORMATION:
DESIGNER/ENGINEER: XX Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: XX 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 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 y®rlz
perty.A No ' e of Commencement must be recorded and posted on the jobsite
before the first insIf
yo ' n tain financing, consult with lender or an attorney before
commencing workr n o r mmencement.
� /'1
7 1 L
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5i Lucie COUNTY OF
Thefor oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this \ day of 20\QS�by this_day of 20 _by
CSV\ y1 C �
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
y
Personally Known OR Produced Identi#i' i®wv s da Personally Known OR Produced Identification
Type of Identificatiioon=Produced:C:d� LLIEPN s12te �� fppe of Identification Produced
1,C�c�, 11"B N�ta�y Pu exp yes 9E a a 61 mmission No. Seal
Commission No. J (�ea'� �E kVcommission (Seal)
comm h Nal�onal Notary
Irl l1011t\\,`
Revised 07/15/2014 _
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS