HomeMy WebLinkAboutBuilding permit application-UN
Date: Permit Number: -
•
951To dUCEIR
V & (TPA. Building Permit Application
Planning and Development Services
Building and Code Regulation D!vl51on Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1S78
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address:
Property Tax ID ff:��
Site Plan Name:
Project Name:
1 DETAILED DESCRIPTION OF WORK:
2
S' I Jan
D
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
Block No.
rut
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 Constructio • Sq. Ft. of First Floor: _
Cost of Construction: $ Utilities: —Sewer _Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name l
Name: Tom Seuray
r.— r1
Address: "5
Company: Tuff Shed, Inc.
City: State:
Address-1777 S. Harrison St, Suite 600
Zip Code: Fax:
City. Denver State: C0
Phone No.
Zip Code: 13D21D Fax: 3D3-474-5526
E-Mail: I °`�
Phone No 303-474-5524
Fill In fee simple le Holder on next page (it different
E-Mail Iicanses@tuffshed.com
from the Owner listed above)
State or County License CBC1253645
If value of construction Is 25W or more, a RECORDED N011M or LoramMernent 0 requirea.
H value of HAVC Is $7,500 or morn, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNS ENGINEER: `Not App ca Fe —
MORTGAGE CO PANY: r Not Applicable
Name:+aellwdwas Name;
Address: mre Hamwnistmi.auxaam Address:
City: D—•{ State: co City:
Zip: Waro Phone a -47111 s,. Zip' Phone Stake:
FEE SIMPLE TITJ4E HOLDER: — Nat Applicable BONDING C PANY: Not Applicable
Name; Name:
Address: Address:
City: City:
Zip' Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and Installation as Indicated.
I certify that no work or Installation has commenced prior to the Issuance of a permit.
St. L cle Cou mtyy makes no repressr�tatlon that is granting a ermit will authorize theFerrnit holder to build the sub ect structure
which isin onflittwithany pl . 5 le Home Owntrs Asso�ation rules, byiaws gr alen ovenants that may re$tract 6r pr habit such
structure. Pease consult w ti ourHomeOwners social on and review your deed r any restrictions whirf� 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. Lude County Amendments.
The following building permit applications am exempt from undergoing a full concurrency review: room additlons,
accessory structures, swlmmlng pools, fences, walls, signs, screen rooms end accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result In ppayin* 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) . If you intend to obtain financing, consult
%With lender or an attorney ore commencing work or recardink your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agght for Owner
STATE OF FLORID
COUNTY OF
Sworn to (or affirmed) and iub scrlbed before me of
Physical Pre ce or Online Notarization
this :* day of _ 20A by
Name of person making statement.
Personally Known OR Produced Identifica
a
Type of Identification
s (7 N
Produced
w h
IL
3Q�
(Signature §f Notary Public- State of Florida )
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Z X LE
Commission No. (Seal)
REVIEWS I FRONT CO NTER I
REV? ZONING W I S R
DATE
RECEIVED
STATE OF COLORADO
COUNTY OF u--w
Sworn to (or affirmed) and subscribed before me of
x cal Presence or Online Notarization
thisJMay of A-WIL, . 2020 by
Tom Sway
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced w,% : n r
h
O�
of ?Votary Pubilc'State of Colorado )
o p
No. (Seal) Z 2 n
timQ
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n
PLANS 1 VEGETATION I SEA TURTLE `MA
:EVIEW REVIEW REVIEW II REVIEW