HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
11/10/2016 ( r
Date: Permit Number:
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 site built
PROPOSED 1111IPR01/EMENT LCCATIt3N 4¢ 41
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Address: 7109 Plumosa Lane, Fort Pierce, FL.34951
Legal Description: LAKEWOOD PARK-UNIT 11-BLK 149 LOT 26(MAP 13/12N)(OR 3878-2157)
Property Tax ID#: 1301-613-0295-000-3 Lot No.26
Site Plan Name: Block No. 149
Project Name: Install Shed-no concrete, no electric, no plumbing.Shed on Skids.
Setbacks Front N/A Back: 15' Right Side: 7.5' Left Side: 7.5'
DLTAILD DESCRIPTION } WORK• `q
� ,'
Install Pre manufactured 120 SQ FT. shed kit. No Electric, No Concrete, No Plumbing.
C(?NSTRUGTIQN INFORMATION
.s.
Additional work toe e Orme under this permit—check a appy:
HVAC FI Gas Tank E]Gas Piping _Shutters Q Windows/Doors
11 Electric El Plumbing []'Sprinklers E Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction: 120 S Ft.of First Floor: N/A
Cost of Construction:$ 2350.00 Utilities: Sewer Septic Building Height: 114"
QWNERjLIss� CONl'RACTOR Backya'r`d Storage Solutlons,'LI_C4
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Name 16e C, Name: Gary West
Address: ` Company: Backyard Storage Solutions, LLC.
City: ,�'rY /�'ie 1`� State:L Address: 1724 W. Broadway St.Suite 200
Zip Code: Fax: City: Oviedo State:FL.
Phone No. Zip Code: 34951 Fax: 407-359-5478
E-Mail: Phone No. 407-359-5473
Fill in fee simple Title Holder on next page(if different E-Mail. branch084@backyardproducts.com
from the Owner listed above) State or County License: CRC1329856
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CQNSTUCTION L{EN L�►W {NFQRMAT{0N r ,
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x_Not Applicable
Name: Richard Koyowlcz Name:
Address:7162 Glenbumie Lane Address:
City: Clarkston State: Mi City: State:
Zip: 48346 Phone: 248-625-3362 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x 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 thepermit 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.
(,f•e� s
Signature of Ow er/Lessee/Contractor as Agent for Owner Signature of ntractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF cC-tM100 LIE COUNTY OF SEMINOLE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_to day of VEW% 20 _by this 10 day of NOVEMBER 20 .k by
1DIb David Craig
e of ackno d ' (Name of person acknowledging)
(Signature of Notary_ /Pub o Public-Stat Florida) re o I of No ary Public-State of a
Personally Known v OR Produced Identification Personally Known . x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. 07T8 ( ea s° {DAVID �IYAIR iOi�lAd 126746 * "c; COW EDWARD CR
_• MY COM ISSION#FF126748 o= MY COMMISSION#FF126
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Revised 07/15/2014 (407)396-0153 FloridallotaryService.com (407)399-0153 FloridallotaryService.com
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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