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Home My WebLink AboutBuilding Permit Application f/ ALL APPLICABLE INFO MUST BE,COMPLETEDFOR APPLICATION TO BE ACCEPTED �. Date: Permit Number: �. RECEIVED a Building Permit Application JAN 2 3 1017 Planning and Development Services Building and Code Regulation Division PERMITTING 2300 Virginia Avenue,Fort Pierce FL 34982 St.Lucie Co nty,FL 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 Address: FOCI 10 a �rJ P, re-e �-Jo2 i A a 3 4' I Legal Description: �.c�� P�(�PS Sf b -PIw!eE7tr-R- L-) 302. / AAAe 13 1 'Sh4�/ De 385'9- 1 1. 5-e-C, 13 ,1 L.-)tri 3115 9c-.r%!qe 3 9 e Property Tax ID#: Lot No.3 D Site Plan Name:-_A9 R01-t Me-/1 M41 d Block No. Project Name: ::LvJ� '5 Ee_A Setbacks Front /o N Back: I5 Right Side: 57 ' Left Side: 7 -s DETAILED DESCRIPTION O,F WORK3 { _ r X I Z CONST RUCTIONS INFORMATIONt; g f = x _.-.. w 1 Additionalwork toe e orme under t -checkispermit a appy: aHVAC 13 Gas Tank ❑Gas Piping Shutters ❑.Windows/Doors Electric ElPlumbingSprinklers []Generator or []Roof Roof pitch Total Sq.Ft of Construction: 910 S .Ft.of First Floor: 910 Cost of Construction:$QI 39 O c Utilities: Sewer Septic Building Height: LJ�I OWNER/LESSE'E "; ''CONTRACTOR Name Name: TOM SAUREY Address: e Company: TUFF SHED INC t City: a. 1 time_ State:EL Address:!25:ay Zip Code: -314'NJ Fax: City:_()d'1 a'ncl O Stater - Phone No. �A D3 Z 5 2,15 Zip Code: Z2,111- Fax.. E-Mail: — Phone No. ' 21 ZoZ Syr/ Fill in fee simple Title Holder on next page(if different E-Mail:Qb�,u i -0 5-s—s'IPA I Cory-% from the Owner listed'above) State or County License: CBC1253645 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 11 �c� h•`s' �.Y z, SUPPLEIV�ENT��L`�CON$TR JN LIEN LAW; ATION' A }` v ' i -INFORM -,t '1 v a L,S.. /'P l" x.- - s 3r' '�' s.,.-.az..',._,+,.1e,,.z_.,. ,,,,._,.,:��'v�...�.err'-�_�_.�`•,. ,�, .<.:c.^_ ._..a.o._.:€. ...,..5�.....,.,� .�.�.i.... al.�...( _tx�.,,...,,.,.,«,..,a_.' _.,- . ... n...s, ...........:�...-..;,, DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable Name: RICHARD WILLS Name: Address:1M S HARRISON sr Address: City: DENVER State: co City: State: Zip: 80210 Phone: 303-753-8833 Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: -)L-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 Horne 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,con u t wit lender Oran attorney before commencingwork or recording our Notice of Commencement. At Loov-.e-� Xs Signature of Owner/Lessee/Contractor as Agent for Owner Signa re f X4.'It a c r/License der STATE OF FLORIDA / _ STATE OF Ft6fd5 f Cot-c COUNTY OF �-�' v� L COUNTY OF Denver The forgoing instrument as acknowledged before me The forgoing instrument was acknowledged before me this day of u'4R' 20 U-by this I S"`day of L .20 19 by (Name of person acknowledging) (Name of person acknowledging) (Signature bMotary Public-State of Florida) (Signature of Notary Public-State of Florida j Celoca. 6 Personally Known ORP d dIden#ificaxion _ Personally Known K ORTradaee�lden"eatien Type of identification Produced U I yy o Commission Commission No. (Seai)UKE MAURER NOTARY PUBLIC s GARY M AKE STATE OF COLORAD �.. Q/ OMMISSION#FF010001 NOTARY ID y+ MY COMMISSION EXPIRES 02-0. 020 Revised 07/15/2014 'FF?°P' EXPIRES April 21,2077 (407)398()153 Floridallote REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW nREVIEW REVIEW REVIEW REVIEW DATE n 3U COMPLETE �- �1 INITIALS i SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION h DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: 4 X Not Applicable Name: RICHARD WILLS Name: Address:IMS HARRISON ST Address: City: DENVER State: co City: State: Zip: 80210 Phone: 303-753.8833 Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: _.)_t 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 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,con ult witl lender or an attorney before commencing work or recording our Notice of Commencement. XLA. s Signature of Owner/Lessee/Contractor as Agent for Owner Signatifre6f it a or/License der STATE OF FLORIDA STATE OFF 9RODA Coto, COUNTY OF COUNTY OF Ue.nvec- The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of , 20 by this I&VI"day of .20 11 by (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Fiorida-t Golo,o.J�o Personally Known OR Produced Identification Personally Known Type of Identification Produced TIl�tion Commission No. (Seal) Commission No. 20%LW446%6% (SeaQUKE MAURER NOTARY PUBLIC STATE OF COLORADO NOTARY ID 2U7 Revised 07/15/2014 MY COMMISSION EXPIRES 02-0 2020 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS