HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED pp
Date: 1/18/2017 Permit Number: L'-in
6,
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
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_PREOP SED IMPROVEME'NT LOGATIQN . , A5 r r,. ' ,� x,,. �. `"
Address: 6()6 -DIIFort Pierce, FL 34946
Legal Description:
Property Tax ID#: 3410-701-0006-000-2 Lot No.
Site Plan Name: Bentonwood Lot 9 Block No.
Project Name: Shed Invasion
Setbacks Front 53' Back: 30' Right Side: 37' Left Sider 15'
DETAILED DESCRIPTION OAF INQRK p W-
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As Built Shed Install "Teds Shed"
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CONSTRUCTIC±N INFORMATION
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Additional work to e performedormeunder this permit—check al _appy:
❑❑HVAC be
Tank Gas Piping Shutters Windows Doors
❑Electric ❑ Plumbing []Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: 120 S . Ft. of First Floor:
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Cost of Construction:$ 350.00 Utilities: _Sewer❑Septic Building Height:
OVIINER/LESSEE , CONTRACT?OR '� '
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Name Fine Investment Properties Name: Roderick Waller
Address:10552 S US Hwy 1 Company: Sunrise City CHDO, Inc.
City: Port St Lucie State:FL Address: 3550 Okeechobee Rd
Zip Code: 34946 Fax: City: Fort Pierce State.FL
Phone No.954-478-7602 Zip Code: 34947 Fax: 772-907-0420
E-Mail: Phone No. 772-201-2850
Fill in fee simple Title Holder on next page(if different E-Mail: rodwallerl @gmail.com
from the Owner listed above) State or County License: CGC1515114
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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`SU�PP�LEEIVIEN��AL"�pONSTR'IJCTIQ_N LIE�N��L�AUV'INFORMAI"ION�,��d �� �` A'= � �A��4��y��� ry � ' ���aG
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Rhone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: 0 hone:
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 Commencemerit 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 fender or an attorney before
comaencing w rk or recording our Notice of Commencement.
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_Signature of wner/Lessee/Agent Signature of Contract r/Li nse Holder
STATE OF FLORID , STATE OF FLORIDA ,
COUNTY OF �n,,�c _ COUNTY OF ���_
The for cling instr gent was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 Cby this a day of 20 by
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(Name of person acknowledging) (Name of person acknowledging)
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gna ure of Notary Publi State of Florida) (Signature of Notary,Public-Sta of Florida)
Personally Known---,-a OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
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Revised 07/15/2 c Commission#FF 177249 %;?oFr4o;•�' 8 Commission#FF 2018
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REVIEWS FRONT ZONING PLANS VEGETATION SEA TUR E VE
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