HomeMy WebLinkAboutBuilding Permit Application - CompleteAll. APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:._91212029 Permit Number:
Building Permit Application
Planning and. Development Services
Building and Code Regulation Division Commercial Residential. X_
2300 Virginia Avenue, Fort Pierce FL.34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR.: Shed Install - Garden. Ranch 8'.wide by 10' long
PROPOSED IMPROVEMENT LOCATION: 5814 Killarney Avenue Fort Pierce FL 34951
Address: 5814 Killarney Avenue Fort Pierce FL 34.951
Property Tax ID #: 1301- 613-0031-000-5 tot No. 31
Site Plan Names Block No. 137
Project Name: Rachel Lucius
DETAILED DESCRIPTION OF WORK:
Install nex 8x10 story a shed - no electric no concrete no other trades
New Electrical Meter Second Electrical Meter
LCONSTRUCTION. INFORMATION:
Additional work to be performed under this permit"— check all that apply:
Mechanical Gas Tank _Gas Piping `Shutters windows/Doors _ Pond
_ Electric —plumbing —Sprinklers __.. Generator � Roof Pitch
Total Sq. Ft of Construction: _ 80sgft Sq. Ft. of First Floo..r: .
Cost of Construction: $3 4.90.57 _ Utilities: Sewer _ Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name
Name•. Tom saurey
Address:
Company: Tuff` -shed, Inc...
city: Ft Pierce stater
Address: 1777 S. Harrison St, suite soy
Zip Code: 34951 Fax:
City: Denver State: CO
Phone No. 8E3`-529-8825.
Zip Code: SD2.10 Fax:.303-474-5526.
I: -Mail: rachel.lucius85 mail.com
Phone Nn 303-474-5524
Fill in fee simple Title Holder on next page ( if different
E-Mail licenses@tuffshed.com
fromthe Chimer listed above)
State. or County License CBC1253W
If value of. construction Is 2500 or more, a RECORDED Notice of CommenCemerd is required.
If value of HAVC Is $7,5C0 or mare,. a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name: Richard Witis
Address: 17n s Hamean Street, suite sw
City: oemar State: co
Zip: 80210 Phone303-474-6524
FEE SIMPLE TITLE HOLDER: Not Applicable
Name: NIA
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name: NIA
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name: NIA
Address:
City:
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 €nstallation 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 Associatlon 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 app#y.
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspectioop. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recordink your Notice of Commencement.
Signature of Owner/
as Agent for owner
STATE OF FLORIDA STATE OF COLORADO
COUNTY OF ':�-:r LL{C' C COUNTY OF D
Holder
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
Physical Pres nce or )C Online Notarization x J�Mcal Presence or Online Notarization
thy:,'.. day of 2020 by I this ayof Awffust 12020 by
Tom sauray
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification _
Type of Identificatio
Produced
(Sig ature. dEwotarV Public- State of Florida j
r Lydia Slack
Commission No. S ARy PUBUG
rX � STATE OF FLORICA
O
REVIEWS FRONT G Ex f
t EVIEW�R
COUNTER REVIEW REVIEW
DATE
RECEIVED
com
Personally Known x OR Produced Identificatian
Type of Identification
3.
C
Produced WA
rn a
1
ignature of
hotary Public -"State of Colorado j
19�
t 0
ommission No.
(Seal)
oq
x
T v
r
—
PLANS + I VEGETATION I SEA TURTLE
REVIEW REVIEW REVIEW