HomeMy WebLinkAboutBuilding Permit ApplicationAL ALL A
:ABLE INFO MUST. BE COMP D FOR APPLICATION TO BE -AC'GiPTED.'_'
D. Permit Number
Budiding Pqrmit:Applicati on:
Planning and Development Services: ''''AUG 11 2017
Building and t6de Regulation'Division,
2300.Virginia Avenue,'Fdrt Pierce FL 34982
Phone: .-(772 . ):462-1553 ''Fax: (772):462-*1578 Comm. e rd : a 'I kesidentia[ X`,
PERMIT APPLICATION FOR: To Select from dro bo ".,dick arrowai thd:end of line
p X
Addfess:
L e : gai'Description:
Property y Tax ID #: z4
Site Plari.Nzirne::
proj6ct Name: Lj!�
Setbacks .Front G
mmm
IM�
Block No..
Back:: Right Side:. Left side
Additional work to bf,,l?rtormqd. . under this permit---cneMall apply-
C. G a s Tan k ❑Gat Piping: Shutt Wiridows/Doors
11HVA
U.-Electric .hPl'umbing S'prinklers Generator RoofE.0
S Ft. of First Floor: Total Sq.:Ft'df:Cdnstruction: P0 2 q
S 7' Utilities: ewer c Building Heigh�' :' Cost'of'ConstructiO.n it S:, ;Septic.:; t:.:
Name am
Tom Saijrey....::
Address:-7a Vd Co . mpany: Tuff Shed; Inc. .. .... .... ...
te:: Addr.e'::. "8524:E Colonial
Address:
state: FL
Fax: City.:: Orlando
�Ci
Zio'Ccide: 4��_
32817 ::(360) 998-3228'.:
Phone No Zip Code..... - ..F8x:
�,ev
E-Majl.� 0. Phone -No.: -(407) 985299.0
Fill irifee simple T7Jtle':Ho'j4er on next page (if different '' 11: tuffshecl& mit-it.com
from thd Owfibe listed above). State or County License:
CBQl 253645
if Value of construction'is $2500 or more,.a RECORDED Notice of Commencement is reqUitdd..:'
Tea
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION
6 ii�d Ff 5.n
R
- f•
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name: Richard Wins
Name:
Address:
Address: 1777S Harrison Street Suite800
City: Denver State: co
City:
State:
Zip: 80210 Phone: (303)753-8833
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY:
XNot Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 conflict with any applicable Home Owners Association 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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, cqn It w'th lender or an attorney before
commencing work or recording vour Notice of Commencemer/
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF N
The forgoing instr e t lasacknowledged before me
this ,L day of 20 0-,by
Fmr,,oA5n6bdj
(Name of perms, n Anowledging
ature of Notary Public- State of Florida )
Personally
Type of Idt
Commission
Revised 07/15/2014
Produced Id
7hn, f - Pubf c I i au 18
STATE OF COLORA[
COUNTY OF De
The forgoing instrument was acknowledged before me
this 9th day of March 20 17 by
Stephanie Butler
(Name of person a
ic- Sate of+18Fi 4a)C•M0EArz
Pers/ally Known V OR Produced Identification
Type of Identification Produced
Commission No. 20024017819
STEPHANIE BUTLER
STATE OF COLORADO
NOTARY ID 20024017819
UV ('.AAAAAICCilW CYDroee MTneee 44 en.-P
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