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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services XX
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR: Install prefabricated FLDBPR storage shed
PROPOSED IMPROVEMENT LOCATION: 1905 N 41 st Street Fort Pierce, FL 34947
Address: 1905 N 41st Street Fort Pierce FL 34947
Property Tax ID#: 2406-114-0001-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Demetress L Canty - shed
DETAILED DESCRIPTION OF WORK:
Install a 10'x12' prefabricated FLDBPR storage shed. No electric, no
concrete no other trades
New Electrical Meter Second Electrical Meter
CONSTRUCTION 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: 120 Sq.Ft.of First Floor:
Cost of Construction:$ 4.597.60 Utilities: —Sewer _Septic Building Height: 91211
OWN ERf LESSEE: CONTRACTOR:
Name Demetress L Canty Name:TomSauray
Address:1905 N 41 st Street Company:Tuff Shed, Inc.
city:Fort Pierce State:E—L Address:1777 S.Harrison St,Suite600
Zip Code:34947 Fax: City: Denver State:CO
Phone No. Zip Code: 80210 Fax: 303-474-5526
E-Mail: cdemetress(ab-gmail.com Phone No303-474-5524
Fill in fee simple Title Holder on next page(if different E-Mail licenses@tuffshed.com
from the Owner listed above) State or County License CBC1253645
If value of construction Is 2500 or more,a RECORDED Notice of Commencemerit Is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable j MORTGAGE COMPANY: Not Applicable
I Name:ai&ardwd1s I Name: _
Address:+m s Hamsw streei,suite soo I Address _
City: Denvar State: co i City: State:
Zip: Fr,2.0 Phone 303-4"-5524 Zip: Phone:_
FEE SIMPLE TITLEHOLDER: _X Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: _ 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: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 inspect i . If you intend to obtain financing, consult
with lender or an attorneybefore commencingwork or rec din your Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent f Owner Signat re o ontractor/ a Holder
STATE OF FLORIDA �' STATE OF COLORADO
COUNTY OF COUNTY OF o—
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization x cai Presence or__Online Notarization
this `a day of n Q 2020 by this ay of August 12020 by
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�me f person making statement. Name of person making statement. fationn
rso Ily Known OR Produced Identification�� f Personally Known X OR Produced Identific�� Identification r� Type of Identification
d d 1 la lJr,lef1-d .�J' Z Produced wA(fin tore of Notary Public State of Flor',da)= wn ignatureof otary Public-State of Colorad� ission No. ` (Sealommission No. (Seal)
EWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MA ti
DATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED
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