HomeMy WebLinkAboutBuilding Permit Application ALL APPLIC L INFOMUST BE COMPLETED FOR APPLICATION TO BE.ACCEPTED
p l Permit Number: :
-
Date• . . .. .. .
K-IM00141
Building Permit Application
Planning and Deyelopment Services
Building and Code Regulation Division
2300.Virginia Avenue,:Fort Pierce FL 34982. / .. . .
Phone: (772)_462-1553 Fax: (772):462-1578 COrYlrnlercial Residential
PERMIT APPLICATION FOR: To Select from dropbox -click arrow at the end of line ,:
PROPOSE'' IMPROVEMENT LOCATION
Address: r
:: Legal Description 0K�W00UP
rF-:
Property Tax ID#: Lot N6
Site Plan Name: l �f:t LT". Block No.
Project Name:
_.
Setbacks Front A Back::_ I _Right Side4._ Meft Side
as
DETAILED DESCRIPTION-OF-WORK:
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CONSTRUCTION INFORMATION:
Additional wor to be: a orme un. er this:permit—c ec 'a : t appy:
EIHVAC_ :_ _Gas Tank. ❑Gas Piping Shutters windows/Doors
n(�
LI Electric 0 Plumbing Sprinklers Generator _Roof
Total Sq. Ft.of Construction:. S . Ft.of First Floor: C�0'
Cost:of Construction: $: 7"/ Q� Utilities: Sewer Ll Septic, : . Building Height::
OWNER/LESSEE: .. .
CONTRACTOR:
Name. .. d Name: TomSaureY
Address: Company: Tuff Shed,lnc.:
City: . (c State: Address: .8524 E. Colonial Drive
Orlando 'FL
Zip Code: � 1- Fax City: State:
Phone No. Zip Code: 32817 Fax: (360),9W3228
407 985-2990
E-Mail: — Phone No..( )
Fill in fee simple Title Holder on next page(if different -Mail: tuffshed@permit-it.com
from the.Owner listed above) 'State or County.License: CBC1253645
if value of construction is$2500 ormore,a RECORDED Notice of Commencement is required.. .
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNE /ENGIN ERS of Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Add r s: Address:
City
: tate: City: State:
kaz
Zip: Phone: = Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not 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 orprohibit 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 btain financing, consult with le der or an attorney before
commencin work or co din Not' of Commencement.
s
_Signature of Owner/Lessee/Ag Signature.of Contractor/Lice Hold
STATE OF FLORIDA. STATE OFfte*Ha%* GCS araF�O
COUNTY OF 5-r. L►i F_� C COUNTY OF
The forgoing instru ent was acknowledged before me The for oing instrument was acknowledged before me
m
this day of �1y� 20 1 L-by this day of M cL y .20 by.: ..
CATHIE,LEE STULL Tom s�j; t r�r
(Nam.e of p obi► is_ ( person. .acknowledging gi. g).
� Name of cknowled in
My Com .Expires Jan 27,-2018
'•;,41FftCommiss'on # FF 086842
J
(sign&ure of Notary Pu .lic-State of Florida) Signature of Notary Public State oll`-F d'd)
Personally Known OR Produced Identification 1// . Personally Known _
Type of Identification Produced br giver 1-IGS r,SP Tpe Of ldffllki�e&0171T PI U
Commission No. (Seal) Commission No, 0l5' IIM __ vALDEZ
NOTARY PUBLIC . .
Revised 07/15/2014 -Notary ID 20154037801
My Commission Expires 0912312019
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