HomeMy WebLinkAboutBuilding Permit Application "'APPLICABLE INFO MUST BE Cd.,ir�ETED FOR APPLICATION TO BE ACCEPTI�,,
�Date: Permit Number: I03� O l o I a _
Building Permit Application 1WARA 3l017
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie Cour:tiy FL
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 Qs19t
PROPOSED IM PROVE MENT.LOCATI ON.
.
Address: RaL air I-r- � 1,C l� 3 L/
Legal Descriptio : P S � , P1 (/I;cXe 11 - �— �� 3�9
0--C. 13 J 36g8- - -73
1 a
Property Tax ID#: `' � J Lot No.�
Site Plan Name: (A 66 Block No.
Project Name:
Setbacks Front Back: Right Side: /C0r Left Side:
DETAILED-DESCRIPTION OF-'WO `- -
/a)(/1,o A-Cbr_Ss0➢ 6[ L 1�a Sq r+)fi ! 1
CONSTRUCTION INFORMATION:
Additional work t obenertormed under this permit—check all that apply:
11HVAC 0 Gas Tank []Gas Piping _Shutters Windows/Doors
1:1Electric 0 Plumbing ❑Sprinklers FI Generator Roof
Total Sq. Ft of Construction: 1 �/!ej)S . Ft.of First Floor:
61q3Cost of Construction:$ 1 Utilities: Sewer E1 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name d cct Name: Tom Saurey
Address: Company: Tuff Shed, Inc.
City: ? _ Address: 8524 E. Colonial Drive
2� ,1 �� 2 �S�tate:
Zip Code: J`ti , Fax: c7 - a' c � City: Orlando State:FL
Phone No. 021 ' JJ Zip Code: 32817 Fax: (360)998-3228
E-Mail: ^I � � 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.
SUPPLEMENTAL CQNSTRUCTION LIEN LAIN:I.NFORMAT[ON
DESIGNER ENGINEER: Not Applicable MORTGAGE COMPANY: _XNot Applicable
Narr : 1 I� Name:
Address: Address:
City: St te• City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: _X Not Applicable BONDING COMPANY: _ of 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, consult wi lender or an attorney before
commencinR work or record in our Notice of Commenceme
s
_Signature of Owner/Lessee/Agent Signature of Contracto nc se Holder
STATE OF FLORI A.. STATE OF f OM13* GC)10
COUNTY OF T Q__J COUNTY OF DtwUl/el/'
The fo going instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of \'VVW- 20 0-by this day of M 4!( 20 by
(Name o erson acknowledging) r (Name of person acknowledging)
(Signature of Notary Public tate of Florida) Signature off Notary Public-State off+cr ti!'d)
/� CoLes�ada
Personally Known OR Produced Identification Personally Known _
Type of identification . T
- uu•�
'Notar P �c-State of FIo[Ida Commission No, of S'
Commission No. "�y,�omxplres Mar 23,20t6 IS - vAL®EZ
Commission x FF 104680 NOTARY PUBLIC
t -Notary ID 20154037801
Revised 07/15/201 My Commission Expires 09/23/2019
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW, REVIEW
DATE
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