HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
A0414 P ° �' Building Permit Application
Planning and Development Services
Building and Code Regulation nhds/on Commercial Residential_
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: 1772)462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Prefabricated storage shed - 8'w x 12'L x7'9"H
PROPOSED IMPROVEMENT LOCATION: 6802 Pensacola RD Fort Pierce FL 34951
Address: titsuz Pensacola KID Fort Pierce FL 34951
Property Tax ID #: 1301-619-0099-000-5 Lot No. 3
Site Plan Name: Block No. 120
Project Name: Larsen Shed
DETAILED DESCRIPTION OF WORK:
Install Drefahricated =[age shed - to replace permit #• 1508-0184
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: 96 Sq. Ft. of First Floor:_
Cost of Construction: S 2,751.34 Utilities: _Sewer _Septic
Building Height: 7'9"
OWNER/LESSEE:
CONTRACTOR:
Name William Larsen
Na me: Tom saurey
Address: 6802 Pensacola Rd
Company: Tuff Shed, Inc.
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No. (772) 696-4794
Address: 1777 S. Harrison St, Suite 600
Cam: Denver State: CO
Zip Code: 80210 Fax: 303-474-5526
Phone No 303-474.5524
E-Mail: willlarsen74430icloud.com
Fill in fee simple Title Holder on next page (if different
L. from the Owner listed above)
E-Mail XXMNNMCX' ldXK c470yermits@tuffshed.co
State or County License CBC1253645
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If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER ENGINEER: Not Applicable
Name:a --vas
MORTGAGE COMPANY:
Name:
Not Applicable
Address; im s. aemoosvan, wwwo
Address:
City: oat,., State: co
Zip: m1a Phone m4743sz,
City:
Zip: Phone:
State:_
FEE SIMPLE TITLEHOLDER: XNot Applicable
Name:
BONDING COMPANY:
Name:
Not Applicable
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 Count makes no representation that is granting apermit will authorize the emit holder to build the subject structure
which is in con�!a with any applicable Home Owners Association rules, bylaws or anScovenants that may restrict or prohibit such
structure. Please consult vnth 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 Lurie County Amendments
The following building permit applications are exempt from undergoing a full concurrency review: room addtions,
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 inspectiop. If you intend to obtain financing, consult
V416s_ I. O �-
Slgnatu a Of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIpA
COUNTY OF E 1 LSb0r0LIOh
Sworn to (or aNrmad) and sub cribed before me of
Ph uaI Presence or Online Notarization
this ay of -2Myw
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.lam i l 1 I ca rn L_o irS El
Name of person making statement
Personally Known _ OR Produced Identification
Type of Identificadfis, PL.� L�
rmdured
STATE OF COLORADO
COUNTY OF --
Sworn to (or affirmed) and subscribed before me of
* cal Presence or_ Online Notarization
this ay of a+wv 2020 by
OR Produced
Commission No.44 FF —1 Lo(o19 (Seal) Commisslon No. (Seal) � o
REVIEWS COUNTER REVIEW SREVIEW I REVIEWI VREVIEWON I SREVEWLE I M EVIEN