HomeMy WebLinkAboutBuilding Permit Application ALI_V� LICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
``Date: G�1� Permit Number: \�Oa .0103
= RECEIVED
Building Permit Application FEB 0 6 2018
Planning and Development Services ST. Lucie County, Permitting
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: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description:
OV-Je r_)9
Property Tax ID#: — ` — Lot No.
Site Plan Name: Block No.
Project Name: Y C
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Additional work toe er orme <under this permit—check all appy:
aHVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator ❑ Roof
Total Sq. Ft of Construction: C0�9 Sq. Ft. of First Floor:
Cost of Construction: $ JD ' Utilities: Sewer [:]Septic Building Height: C J
OWNER/LESSEE: CONTRACTOR:
Name Name: Tom Saurey
Addre Ls Company: Tuff Shed, Inc.
City: State; Address: 8524 E Colonial Dr.
Zi Code: Fax• City: Orlando State: FL
Zip Y
Phone No. 7 Zip Code: 32817 Fax: (360) 998-3228
E-Mail: 7 Phone No. (407) 985-2990
Fill in fee simple Title Holder on next page ( if different E-Mail: tuffshed@permit-it.com
from the Owner listed above) State or County License: CBC1253645
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPI'EMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: RchardWills#76835 Name:
Address:1777 S Harrison Street site 600 Address:
City: Denver State: co City: State:
Zip: 80210 Phone: (303)753-8833 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ 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 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._
t
s
_Signature of Owner/Lessee/Agent Signature o ontr ctor/ ice se Holder
STATE OF FLORIDA STATE OF COLORADO
COUNTY OF 5F.. L'L)Gj COUNTY OF DENVER
The fpr]jAng instrument was acknowledgedfore me The forgoing instrument was acknowledged before me
this Co day of Frc1U V>4 R` 20 L5y this 27th day of December 20 17 by
Tom Saurey
(Name o person acknowledging) (Name of person acknowledging)
(Signa"
re of otary Public-State of Florida ) (Sig ture of Notary Pu i -State of Colorado)
Personally Known OR Pro_duced den :fic ion i Who is personally known to me and did not take a
Type of Identification Produce L.CSI JANE L.UYLAKI
NOTAR NOTARY PUBLIC
111`� ST,�(9e
Commission No. ST(��Fal F�RtaA Commission No. 200740425 COLORADO
s
care*GG1 t t5w NOTARY ID 20074042573
1-110ffs MQ021 ,qv�OMFiISSION EXPIRES NOVEMBER 14,201
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
LINITIALS