HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: a Xi * �
;• f:: =�j i`- -7 RECEIVED
JAM -0 2 2020
-- - - -- Building Permit Application
Planning and Development Services yvartmen
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION
Address: 7001 BAYARD RD
Property Tax ID #: 1301-612-0259-000-6
Site Plan Name:
Project Name:
DETAILED DESCRIPTION-0F WORK:
10'X12' Shed
Lot No. 11
Block No. 129
CONSTRUCTION INFORMATION;
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft;of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 3535 Utilities: —Sewer —Septic Building Height:
OWN ER/LESS'EE;
CONTRACTOR., -
Name PAM WILLIS
Address: 7001 BAYARD RD
City: FORT PIERCE State: _
Zip Code:' 34951 Fax:
Phone No. 7726190423
Name: TOM SAUREY
Company: TUFF SHED
Address: 1777 S. HARRISON ST STE 600
City: DENVER State: CO
Zip Code: 80210 Fax:
Phone No 407-282-2444
E-Mail AWILHEM@TUFFSHED.COM
E-Mail: AWILHEM@TUFFSHED.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License CBC1253645
If value of construction is $2500 or more, a RECORDED Notice of Commencement is requires.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL,CONSTRUCTION LIEN LAW INFQRMATION„
DESIGNER/ENGINEER: _
Name: RICHARD WILLS
Address: 1777 S HARRISON ST STE 600
Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
City: DENVER
Zip: 80210 Phone 303-753-8833
State: co
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _
Name:
Address:.
Not Applicable
BONDING COMPANY:
Name:
Not Applicable
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOT CE OF COMMENCEMENT."
4Cam ,
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature Co ractor/Licen a er
STATE OF FLORIDA
STATE OF FLORI
COUNTY OF
COUNTY OF Ste• LQ6 e_
The forgoing instrument was acknowledged before me
The for Ding instrument was acknowledged before me
for
this day of be0E YIh� , 20JR by
this of beC2.t)bt2.rr 201a by
Name of person making statement.
Name of person making sta ment.
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Personally Known OR Produced Identification X
Personally Known *'I- OR Produced Identification
Type of Identification
Type of Identification
ProducedT)ICIm AClem
Produced
Signature of No ry Public- State
re of N to Public- State of Florida
Notary Public State''d
Commission No. I)AshleyAnneWilhel
. lorida
Comm' sion No.c_ l olgNotary Public Sq
My Commission GG 3
Expires 07/25/2023
334 Ashley Anne V'I
My Commission
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J.
Rev. 2/7/ 19
Notary Public State of Florida
Ashley Anne Wilhelm
My Commission GG 359334
Expires 0712512023
Florida