HomeMy WebLinkAboutBuilding Permit Application Ail APPLICABLEINFO MUST "BE;COMPLETEDCIR APPLICATifNTO:BE ACCEPTED►' '1
Date: . Permit Numbei: _�6'�7
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Building Permit Appik ation
Planning.and D6yglopment Seivices
Building and Code Regulotlon Division COI11meirCiaa Residential X
2300 Virginia Avenue,Fart Pierce f!34982
Phone:(772),462,4553 Fax (772f 462-2578:
PERMIT APPLICATION FOR
PROPOSED IMPROVEMENT LOCATIQN""
Address:
4286=CHRISTENSEN RD
Property Tax ID#.2432=42.3-0001-.040=1. Lot-No.
Site Plan Name:"klaesen:shed. Block NO.
Projec(Name:
klaesen-.shed
DETAILED DESCRIPTION OF WORK:
16x28 site built shed I
IOU :�Cy1�,YA t 4P t i C
New Electrical;Mefer. 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" _Plumlirig Sprinklers _.Generator. Roof Pitch
Total Sq.Ft of;Construction:448.
- -_ Sp.Ft.of First Floor:
Cost of Construction:$ c'�� -° Utilities:` _Sewer Septic: Building Height,
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OWNER/LESSEE• � � - - .. CONTRACTOR: ._ -.
1
NameGabriele Klaesorr Name:Tom:Saurey
Address:4286 Christensen Rd Compahy:Tuff'Shed
City: Fort Pierce State:, Address:1777 s"harrison st
Zip Code. 3Z966 Fax Cityc denver
State:.
Phone No. ga`-a-�� - Zip,Code:.8021.0 tax..-
E=Nlail: r �� Phone•No40Z=282-2444:
Fill in fee simple Title Holder.on next page;(,f different
&Mailcberger MU shetl.com
BC1253645 from the"Owner fisted above) "State or County License C ..
if value of construction is 2500or more,a RECORDED,Notice of Commencement is required.:
If value of HAVC is$7,500 or.more;a RECORDED Notice;of Commencement is required.
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5UPRLEMENTAL CONSTRUCTION LIEN"LAW INFORMATid!
,._
DESIGNER N, 1NEE 'No.t.Applicable, MORTGAG COMPANY:' Not Applicable
Narne,. _ Name:
Addres Address
City.F State 0 City
Z►p:. Phone , Zip: ph
St3Ce'
FEE Sf{1JiP{fs.Z TLE HOLDER: __ Not Applicable B01 MPANY:: `Not Appficable:
ame:
N
N"ame -
Address: Address: "
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City; t y:_ . ..
Zjp Phone:" Zip:; Phone.
gw,NER/.CONTRACTOR AFF{DVfT Application°is hereby made to obtain a permit to,Aci the work and.installaban as In, Ica
I""tertify that;no worlif or installation has cornniencerf prior to ttie,issuartce of a permit..
St,Lu"cie Counttyy mrr akes no representafian that is granting a;permit will authorize the" errriit holder to build thesubject structure
which is in:conflitt With anY applicable Home Owners'A s ociafron rules;bylaws or an covepa m that may restrict or pro hibit,s,
structure:Pease consult.w►th your"Home"Owners Assoaation and_review your deed for any restrictions which may,apply::
In considetatian of the granting of�ttisrequested.perm►t,I doierebyagree.that twill,in,aU respects,perform the work. -
in accordance witfiyffie approved plans;.the Flonda 8.0 td1ng Codes.and St Lucie County Amendments,
The?foUowirig b uilding permit applications are exempt froin:undergorig a full concurtency review room`additions;
accessory structures,swimming pools'fences,walls,signs;screen rooms and':accessory uses:to:another'non.-residential-use
WARNING.TO OWNERc Your failure to Record a Notice of Commencement may result in paying twice for'
improvements to your property.A Notice of Commencenient:mustbe recorded in the public records:of"St.
Lucie Count posfied.on the joosite before the first'inspection.[f you,intenii.tq obtain'n;financ�ng,consult.
with.lenderor an'attorne before commencin ,work"or":recordin our Notice".of Commen`cettient..
Signature of.Qwner/`Lessee/Contractor as Agent for:Owner Signature of Co actor/License Haider
STATE OF FLaR1DA t ;. STATE OP FLQ_
COUNTY OF1" �1�.. COUNT1f Of_
5wo to.(or,affirmed}and.subscribed before me of Stern to affirmed)and subscribed.before me of
Y Physca(Prey; or Online N .tanzation Physical Presence or Online Notarization:
this daV,df 202 6y this ..t—day df`' 202�,by
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Name ofperson:makin statement m a, N;. Name of person making statement.
Personate "Known OR Produced:.ldenticii�} y Personally Known" OR Produced identifrcatio� w S.
Type of identificatio r d a Type of Identification: ,p ..
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Priduced, J�tJ Produced
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°(Signature:of Pu lic- t e.of-Florida} oWj, -q
{Signature of Notary Publ' ate of Ftiorid
r
Commission No. Commission No, Se 1
REVIEWS FRONT . ZONING, SUPERVISOR- PLANS VEGETATION SEATURTLE " MANGROVE
COUNTER: REVIEW' REVIEW REVIEW REV{Eti! REVIEW REVIEW
DATE:
RECEIVED . . ,
DATE,
COMPLETED:....
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