HomeMy WebLinkAboutapplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number,
Building Permit Application
Planning and Development Services
Building and Cade AegulatlonDivision CDmmerdal Residentlal
2300 Virginia Avenue, Fort Pierce f i. 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT
I R1Or�VEEMEEN�T LOCATION: �
Address: 3 ll U 10 A r IA
Property Tax ID p:
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
4bV
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
Block No.
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: A0 Sq. Ft. of First Floor: _
Cost of Construction: $ -T, 0 U U Utilities: —Sewer _Septic
Building Height:
OWNE /LESSEE:
CONTRACTOR:
Name Y
Name: Tom Saurey
Add re� s: Y 1d.� Y
Company: Tuff Shed, Inc.
City: I State:
Address:1777 S. Harrison St, Suite 600
Zip Code: Fax:
City: Denver State: CO
Phone No. D a e�' aylIy..
Zip Cade: 80210 Fax: 303-474-5526
E-Mail:I �QVL.�.
Phone No 303-474-5524
Fill in fee simple itle 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 Commencement Is required.
If value of NAVC is $7,500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION.
DESIGNER/ENGINEER: ` Not Applicable
Name: Rkhw+wine
Address' 1777 E Hem -on Sl a t. Bulls OW
City: o.— State: to
Zip: OC210 Phone 30474-5e24
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
—
MORTGAGE COMPANY: _ Not Applicable
Name:
Arldrptc:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
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 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 conflictwlth any applicable Home Owners AsSQ[lation 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucig founty and posted on the jobsite before the first inspectiop. If you intend to obtain financing, consult
wit l nAfworra� attornau before commencine work or recardink vour Notice of Commencement.
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Si nature of Ow r/ Lessee/Contractor as Agent for Owner
Sign at re o ontractor/ a Holder
STATE OF FLORIM
STATE OF COLORADO
COUNTY OF d L iC L4
COUNTY OFD--
kyrprn to (or affirmed) and subscribed before me of
sworn to (or affirmed) and subscribed before me of
�!J h sical Pres nce or Online Notarization
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Tom Sauny
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