HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLEIN�FO MUST: BE CCl6 sETED FOR APPLICATION TO BE ACCEP`
Oates k' �`1 .`9: Permit Number:
RECEIVED
Building Permit Application JAN.15 2019 -
Planning and Development Services:STLucie'
Building and Code Regulation Divisio. n County, Permitting
2399 Virginia Avenue; Fort Pierce FL 34982 :
- Phone: (773) 4ti2-1553 Fax: (772) 462-1578 Commercial Residential_
PERMIT APPLICATION FOR: To Select from dropbox; :click arrow :at tFie end of line
PROPOSED 'IMPROVEIVIENT LOCATION.
Address: 66LI� -
Legal Description: (CtflckiyeCo CSC P-31r In t_e� li '1 WCQ4?Sy 18S
Property Tax ID #::aHCQ- W3
Site Plan Name:_hr-�Ile✓ 23 _Y>-Y
Project Name:Q i!1%1QYC�1
Setbacks Front Back:
_ Right Side: Left Side:
Lot No.
Block No...Q: i:.
SCANNED -
RV - .-
CONSTRUCTION INFORMATION
itiona wor to' e e orme under tis permit —.check all that
appy:
❑HVAG. GasElTank. ❑Gas Piping, Shutters, Windows/Doors
❑Electric 0-Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft dMcinstruction::1�kfl S . Ft. of Pirsf Floor:
Cost'of'Construction..$ .i( �� p� : Utilities:- ❑;Se,ptic Building Height:. 1
OWNERAESSEE; = .
CONTRACTOR:
Nam eL 3 e �
Name. Tom Saurey
Address: '
company: Tuff Shed, Inc.
city: i ..�P.r� State:r—)
Z.P.C.OdeO'A(:(�, .. Fax:
Phone No. `)1-q� 1.5
Address: 8524 E Colonial Dr., .: ...
City:. Orlando .. .. State: FL
p Code:_ ..ZBfZ
Zi 3 Fax- -(360) 998-3228.
Phone No. (407)m985-.2990
E-Mail:
Fill in fee simple Title:Holder on next page ( if different
from the, Owner listed above)
E-Mail: tuffshed(gpermit4t.com
State or County License: CBC1253645
If.value of construction is $2500 or more, a RECORDED Notice of Commencement Is required::
p
u IAL
SUPPLEMENTAL CONSTRU LIEN LAV1/ INFORMATION,:
DESIGNER/ENGINEER: _ Not Applicable T MORTGAGE COMPANY: X Not Applicable
Name:" Richartl•Wills #7sa35 Name:
Address; lm8HarrismStreet Sufte 600 p Address:
p
City:' Demef State: cO City:.. State:
eo2m .
Zip Phone: cao317s3aa3a: Zip: Phone:
FEE SIMPLE TITLE HOLDER: p Not Applicable.. BONDING...COMPANY: : x Not Applicable
Name: Name:
_Address: Address:
City: City:
Phone:
Ph:...: Zi
Zip:....:: .. p:...Phone:.::
I certify that no work or installation has commenced priorto the issuance of a:pefirnit.
St: Lucie County malie's no representation that isgminting a permit will authorize the permit holder to build thesubiect 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 1 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 concurrericy 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
im rovements to our ro ert A Notice of Commencement must be recorded and osted on the iobsite
p... Y.. :p. p Y.
before the first inspection. If you intend to obtain financing, co suit ith:lender or an attorney before
commencin vu r or re/nc�ordin 'our Notice of Commenceme .
_ Sirj ur f Owne,/ Lessee/Agent
STATE OF FLORIDA-
COUNTY OF.
The,forgoing'instrument was acknowledge efore me
this 11' day offp 1Q- Y1 r�I 20 Ilby.
]^,�SC?� -T�e gin►-,mrc#+
%at Nota :Pub is -State of FloridaPeIly Known OR Produced Idegqtification n
Type of Identification ProducedV_ -hr• '( !C
CommissionNu--1� )%L-zA (Seal)
Revised07/15/2014 a Expires March20,2022
110Me 6wWrtSUBAOINotVywdoo
SignajOre,ot Contractor/ icens . Ider -
swiE OF COLORADO
COUNTY OF DENVER
The forgoing instrument was. acknowledged before he
this la of March::'.. 20 18. by
Tom Saurey .
(Na :' f person a dging )
(Sign re of otSFT ublic State of Colorado)
Who is personally known to me and did not take an oath.;
Commission -No. .2 024017@WJ HANIEBUTT }
NOTARY PUBLLIIC
STATEOFCOLORADO_
REVIEWS
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ZONING
SUI. PERVISOR
PLANS
VEGETATION
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MANGROVE:
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INITIALS