HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 O� �� Permit Number:
" ! RECEIVED
• -
Building Permit Application OCT i 8 201 -
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division g
2300 Virginia Avenue;Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential _
i
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED::IMPROVEMENT.LOCATION:
Addresso'Zt-d--59�
Legal Description:T:�x`i'-�\eY�_ ff*-c(cs-1nrr1 _F-I-)}1r-_ 2> Lc�-a(<Do
Property Tax ID#:I CCQI 7 l C�co• Lot No. C�),
Site Plan Name: Block No.
Project Name: Nk\10'_
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF:WORK. ` .�
,x
CONSTRUCTION'`INFORMA TION:
-A-HFtional work to be ertormed under this permit–check all appy:
HVAC Gas TankOGas Piping _Shutters O Windows/Doors
OElectric O Plumbing OSprinklers O Generator O Roof
Total Sq. Ft of Construction: 1610 S . Ft.of First Floor:
Cost of Construction: $ '����S• 1? Utilities: Sewer Septic Building Height:
OWNER LESSEE:° ICONTRACTbR.
Name t41(fr— Name: Tom Saurey
Address: Oc*___I t'• Company: Tuff Shed, Inc.
City:i i( Pip-we State:EJ Address: 8524 E Colonial Dr.
Zip Code: y9 Fax: City: Orlando State:FL
Phone No. Zip Code: 32817 Fax: (360)998-3228
E-Mail:Clq� tt��COP11h•(�Q�' 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.
SUPPLEMENTAL CONSTRUCT,I,ON LIEN LAW INFORMATION::
DESIGNER/ENGINEER: Not Applicable MORTGAGECOMPANY: X Not Applicable
Name: Richard Wills#76835 Name:
Address:17778 Hanson Street Suite6.00 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 1 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
commenci-prg work or recordin our Notice of Commencement.
s
_Sign of r/Lessee/Agent Signat tractor/Li rise Holder
STATE OF FLORID STATE OF COLORADO
COUNTY OF GaGf� COUNTY OF DENVER
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20/1 by this'Wy of March ,20 18 by
Tom Saurey
(Name of per on acknowledging) (Name of person acknowledging,
($igrfature of Notary Public-State of Florida) (Signa a ofotary Public to a of Colorado)
Personally Known OR Produced Identification � Who is personally known to me and did not take an oath.
Type of Identification Produced LL 441490 /776 17UI-1-6
Commission Commission No. 20024017819 (Seal)
s!►r•ty Nota Public State of Florida
Leon Dale Cockerham STEPHANIE BUTLER
? d� Expires 08/08!2022 STATE OF COLORADO
Revised 0 NOTARY ID 20024017819
RAV rnhA ms
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS