HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: • Permit Number:
• • u RECEIVED
Now Building Permit'ApplkaitionMAR 0 9 2020
Planning and Development Services
Building and Code Regulation Division ST. Lucie count , Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED,IMPROVEMENT LOCATION
Legal Description:1$ C) c I C 4 Tu -ce
1� .� �-•t'-�I . 1C� i�� ���� ^lQ�".far l ��>
PropertyTax ID#: l £�- )1 k-� `'�• Lot No.
Site Plan Name: 71�1r1 �' Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF;'WOR
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Cc) 'Sc)1y
CO"NS-TRUCTION rvl"NFO. RMATIO"N:
rormeun a apply:workto
HVAC M
Gas Tank E]Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers 1:1Generator Roof
Total Sq. Ft of Construction: S . of First Floor:
Q C
Cost of Construction: $ 9 E5 - 1 Utilities:ln Sewer E]Septic Building Height:
;OWNER/LESSEE. "' CONTRACTOR,:
Name_Vi�� AAdk r Name: Tom Saurey
Address: O7-7-05-1- 1:�7_ _ Company: Tuff Shed, Inc.
City. ' State44 - Address: 8524 E Colonial Dr.
Zip Code":�:Wiei ( Fax: City: Orlando State:FL
Phone No.LgJ'Ll ' 9S� Zip Code: 32817 Fax: (360)998-3228
E-Mail: 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.
SU,PL�MEIVTAL`CONSTRUCTIOIV LIENLAW INFORMATION w `: u
,-" p1.DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Rchard Wills#76835 Name:
Address 1777t Hanson Street Suite 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:
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
commencinia work or recording our Notice of Commencement.
s
Si nature o Owner/Lessee/Agent Signa- o, o. actor/ ense Holder
ATE OF FLO DA ] �.� STATE OF COLORAD
COUNTY OF ��, C =t� COUNTY OF DENVER
The forgoing ins- u nt was acknowledged before me The forgoing instrument was acknowledged before,me
this LL day of r 20a(�y this`IWay of March ,20 18 by
r' Tom Saurey
Leofson acknowledgin ) (Name of person acknowle tng)
( ' nat a of ry ublie-State of Florida) (§'f_ atur ofN aryblic- fa a olorado)
Personally Known OR PVEIT
ntification Who is personally known to me and did not take an oath.
Type,of Identification Produced b(
Commission Q1!!Y,?410,c (SeMYCEYJOSEPH Commission No.. 200 �4017818TEPHANIE(44 11fR
* w Commission#GG 198139 NOTARY PUBLIC
Expires March 20,2022 STATE OF COLORADO
FOF Flo Baled Thru Budget Notary Services NU IAKY lu 20=0 178 19
Revised 07/15/2014 1MY COMMISSION EXPIRES OCTOBER 11 2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS