HomeMy WebLinkAboutBuilding Permit ApplicationUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
777
Permit Number:
F
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34932
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:
Address: a--s 0Gl rn'0+ Coe+y'1ey(-p
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go.
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Legal Description: Twdin"t 'F\("Pf Sly- 59 x,)„
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Property TaxlD#:,i-4�1 •-I��(J(n�j-L'Xyj. r]
Lot No. 11
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Site Plan Name: Block No. 5.
Project Name: _�_ V;j ro
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
I ou T Scor Sym poi}} C) &)rf t`loelPcc,
00r\0Y2-('- %f i Crit On
CONSTRUCTION INFORMATION:
iuuna wor to a erorme LIKE;; is Fern 11 ec a appy:
1HVAC f]Gas Tank ❑Gas Piping _Shutters Windows/Doors
jL (1Electric []Sprinklers 11
Plumbing Generator Roof
Total Sq. Ft of Construction: fsL SFt. of First Floor:
Cost of Construction:$ 3, ICi.CiO Utilities: Sewer 0Septic Building Height:
ER/LESSEE:
CONTRACTOR:
Name: Tom Saurey
rAddress:� Tuff Shed, Inc.
Company:�iP
YCYL State Address: 8524E Colonial Dr.e��l9R_a
Fax: City: Odand0
FLo.
State:
Zip Code: 32817 Fax: (360) 998-322::8�,hQ(Iie��V� �Y1(iWvh
t nnv, 407 98
Phone No. ( ) 5-2990
Fill in fee simple Title Holder on next page ( if different E-Mail: tuffshed@permit-it.mm
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.
PLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER ENGINEER: _ Not Applicable
Name: Rdiardwi.81
MORTGAGE COMPANY:
Name:
1t Not Applicable
Address: +n>snmleaa street svib soa
Address:
City: Exi— State: co
Zip: W210 Phone: tawl'rsamas
City:
ZIp: Phone:
State: —
FEE SIMPLE TITLEHOLDER: Not Applicable
Name:
BONDING COMPANY:
Name:
K Not Applicable
Address:
Address:
City:
city:
Zip: Phone:
Zip: Phone:
I certdythat no work or installation has commenced prior to the Issuance of a permit.
which Is in conTlict withIany applicable1HomeOwnerstAssociation rulesabylaws or antl covenants that build
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 conwrrency 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 in$$pection. If you Intend to obtain financing, cpns''It w' h lender or an attorney before
C_OWAM Cinawo1 or recording vnnr Nntiro of rnm—., ,.e...-..1 7V T
STATE OF FLORJD� STATE OF COLORADO
COUNTY OF fir". 1TtIY- COUNTY OF DENVER
The to ng Instrument was acknowledge4 before me The f Ding Instrument was acknowledged before me
thiy of 2
Y this y of March 20 18 by
Tom Saurey
4of:acnowrging) 44;nate of Florida) of Colorado)
Personally Known OR Pro ucad Identifcation Who is Personally known to me and did not take an oath.
Type of Identification Produred i- _ PW 1 t /-t
Commission Na621cif
Revised 07/15/2014
(Seat)Commission
STACEYJOSEPH
Ecpbes March 20,2072
emaamve�w+x..rs.ara.
REVIEWS I FRONTING
COUNTER REVIEW
INITIALS
SUPERVISOR I PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW I REVIEW