HomeMy WebLinkAboutFL3607 Signed Stocking CertificateL�-17o LLB- UCE • <�
PLANNING AND DEVELOPMENT SERVICES
Building and Code Regulation
2300 Virginia Avenue
Ft Pierce, FL 349132
Telephone: 772-462-1553
Fax: 772-462-6443
Stockinet Aareement andlor Temporary Conditional/Phased Occupancy Reguest
Permit Number: �L L )�-j 0A —0 7,Z41 Contractor: Hanna Design Group
AA1 UP M't' 90 T. Q�s, 4t.G
I (Print Name) a �s►wro�e legal owner or lease holder of the below listed
property do hereby request permission to occup the structure located at the following address:
(Address) 4-f [/Zp —.FL
fw flays (state the time required for completion, not to exceed 90) prior to the satisfaction
of the fallowing items which are known or may be noted in the County inspection reports.
Outstanding Items:
Certificate being requested: X Stocking Certificate _ Temporary Certificate of Occupancy
Contact information of authorized representative:
Name: Tom Russo
Phone 8( 65) 368 - 0292 Email: trusw@hannadesigngroup.com
Following the approval of a Stocking Certificate, all remaining items, including life safety must be
corrected or finished, inspected, and approved prior to any TCO request or use of the building(s) or
structure(s)
In consideration of possible failure on our part to correct the deficiencies noted and the potential to leave
code deficiencies on the site, if required by St. Lucie County, I have provided a surety, to be held in
escrow, for the amount $ which will be held until the St. Lucie County until any
deficiencies identified above in County records related to this project, or in attached exhibits have been
corrected, inspected and accepted by St. Lucie County staff.
I understand that this completion agreement may be revoked, conditional occupancy prohibited and
electrical power and/or water disconnected at any time for violations of this agreement. I understand that
if it is determined I (we) have failed to abide by any of the specific conditions and agreements associated
with the completion agreement, or have created, or have allowed any significant life safety violations to be
present, my surety may be forfeited if the deficiencies listed are not eorre ed in accordance with the
terms of this agreement. VpA,,,,,,-v WAMIZ9",
SSl nature of OwnerlLeaseholderl:
Sworn to or affirmed before me this QtE4 of C by 1 L'e
who islare personally known to me or has/have produced as identification.
Print Notary Name: Q Vj'SA t 1
Notary Signature: U 6 (seal)
Jason Mick Digflailysigned byJason Mick
Signature of Prime Contractor: Date: 2021.10.2509:22:12-05100'
Sworn to or affirmed before me this 25 clay of October 2021 by Jason Mick
who is/are personally known to me or haslhave produced drivers license as identification.
liar ame:
O Diane Collazo
ybq.9 Sig to "a4u-
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(seal)
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�19,�, r� November 21, 2021
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