HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAL!.,APPLICABLE INFO MUST BE COIL ETED FOR APPLICATION TO BE ACCEP°
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Date: wi
Permit Number: V
I:
RECEIVED
- Building Permit Application .
JAN i 5 2019
Planning and Development 5drvices:
SCANNED
Building and Code Regulo.tion Division
BY
ST. Lucie County, Permitfing
2300 Virginia Avenue, Fort Pierce FL 34982
Ph'one.. (772) 462-1553 Fax. (772) 462-1578 Commercial $t.-Lucie ®t i +� idential-
PERMITAPPLICAT.ION FOR: P
To Select from dro box; click arrow:at tFie end of line
PROPOSED `IM PROVEM ENT -LOCATION: -
Address. cb 9 l A� 1c--'hkoam
n .
Legal Description;
Fz1�5
I K. g co*cA .�. 1. � A � f 60 -N&S-•
a,�.�•-<��►�x-alma ......... ,..
Prop MY Tax ID #:A,—►�Y:��JI�j—u'i�7�D': Lot No.
Site Plan Name::.
Block No.: I J
_.
Project Name:
_... .
Setbacks Front Back:. Right Side:
Left Side:
DETAILED DESCRIPTION„OF WORK:'
3 X Slrled 10v1 k+ Drl 611e�Y1C1
Y1
'CO'NSTRUCTION INFORMATION
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AOaitional,worK to 13 e' a rtormed uncler this permit -.check
a
app y:
]HVAC
Gas Tank
�iping.
ShGasPutters
Windows/Doors.:
Electric D:Plumbing
Dprinklers
QGenerator.
f_yRoof
l7 ��,�SI O(�
Total S Ft of;Construction::
q.
t. of Fier Floor:
�LFlo
Costbf Construction:$ :. Utilities: :' Sewer Septic Building Neigha:;'
OWNWL'ESSEE.
CONTRACT(jR:
Namij�-i-(e'3PV
Name: Tom Saurey
Address: g5`1 L 1 Fic�q'1�i nOS �G� _•..
Company: Tuff Shed, Inc.
.City:. t=OY*F` �iQYCf state: j'
Address-.8524E Colonial Dr.,'.: .:. .
Zi319y`-� .p'Code:� .. Fax:
City:. Orlando .. .." -.; State: FL
....
Phone No. �`S- 5 .g?)S
Zip Code:, 32817 Faz : (360) 998-3228
-1 ' 11
E-Mail:c-� -inj 'S-7ar7cV . C_'0YV1
Phone:No: (407).9852990-
Fill in:fee simple Title,Holiler on next page (if different
E-Mail: tuffshed@permit-'it.com
from the.Owrier listed above), =
State or Counri License: CBC1253645
If.Value of construction.IS $2500 or more, a RECORDED Notice of Commencement is required:: „
9PPLEMENTALCONSTRUC LIEN,LAININFORMATION
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: X : Not Applicable
- ame: -Name........ ..
Richard Wills 97883 '
Address:lmSHamsenSyeet sn&eeoo Address:
City:, DenverState: co City:.: Stater
Zip: ; 80210 Phone: (303)753-8833. Zlp Phone:
FEE SIMPLE Tl LE HOLDER: Not Applicable BONDING COMPANY: X Not Applicable;
Name: Name:
Address: Address:
City: City -
Zip: .. ... Phone: ; :.......... .....:.....Zip:... Phone:. ..
I certify that nowork or installation has commenced prior to the issuance of aperinit.
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 corisult:With your Home Owners Association and review your deed for any restrictions which may apply.
In consideration; of the granting.bftiiis 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 permiCapplications are exempt from undergoing a full concurrency review: room additions,
accessorystructures, swimming pools,, fences, walls, sigris,.screen rooms and accessary uses to another noh-residential use
WARNING?O'OWNER: Your failure to,Record 'a Notice of Commencement may resulflnyour 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.infend to obtain financing, consult ' h ]an e'r or an attorney before.
commencin .work or recordin our Notice of Commencement: .
Si nature of Owner/ Less/Agent Signature o Contractor/Licensees dq er,:
STATE OF FLORIDA STATE OF COLORADO
COUNTY OF O.
Leif _ . COUNTY OF DENV.ER -
The!oingnstrument was acknowledged before me The fnstrument was. acknowledged before me
`C I�ec h I $ b h' f March 20 18 b
this_dayof a pr 20__ y - t.ls_ ayo _ y.:
l`lw TSZltue$1,
(Name of person acknowledging)
(Sig- ature o aryPublic- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced IJ r • C
Commission No. (Seal)
ReVised.07 ].L My nes OE1 3,7 GG
Expires OEm3o n G
Tom Saurey
me o person a fro " dging )
(Sign ure o Notary.Public - State of Colorado)
Who is personally known to me.and did ,not take an oath.-
Commission No. .20024017819.. (Seal)
STEPHANIE BUTLER
NMRY PUBLIC
STATE OF COLORADO .
NOTARY ID 20024017819
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