HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: / Permit Number: / y 0
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Building Permit Application JAN 3 1 2017
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue ,Fort Pierce FL 34982
Phone: (772)462 1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 8104 Alister,Place, Port St Lucie, FL,34986
Legal Description: POD 26 At the Reserve Phase I Cypress Point Lot 26(Or 3946-416)
Property Tax ID#: ,3327-707-0030-000-2 Lot No.26
Site Plan Name: Block No.
Project Name: Marshall
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION OF WORK:
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CONSTRUCTION-INFORMATION:
Additional work to 97_J!_dait_s;Ta
orme under this permit—check a appy:
HVAC 'a� nk��f�'�`'�• Gas Piping Shutters ' �`' V1/m ows Doors
0 Electric 0 Plumbing O Sprinklers E Generator E] Roof Roof pitch
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Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction.$ 1 �Sy Utilities: Sewer Septic Building Height:
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OWNER/LESSEE: CONTRACTOR:
Name Martin Marshall Name: Edward J. Heritage
Address:81.0,4 glister Place Company:_Folding Shutter Corporation
City: Port St"Lucie' State:FL Address. 7089 Hemstreet Place
Zip Code: 34986 Faxs City:_ West.Palm Beach State:FL
Phone No.417=231-14.41Zip Code : 33413. Fax: 561-640-8204
E-Mail: Phone No. 561-683-4811
Fill in fee simple Title Holder on next page(if different E-Mail: info@foldingshutters.com
from the Owner listed above) State or County License: SCC131151041
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: =Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
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 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, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
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Signature of Owner/ ee/Co actor as Agent for Owner Si
of Contralto Licen older
STATE OF FLORIDA STATE OF FLORIDA?,
COUNTY OF A(04 S� COUNTY OF lk-
The for oing instruMcrit was acknowledged}-fore me The f oing instrur� nt was acknowledged before me
this day of -) A*-) 20 �by this day of 0140 by
Edward J. Heritage. Edward I Heritage.
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known L- c-OR Produced Identification Personally Known 1___' OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal Commission No. t'
PA ELA A.EVANS PAMELA(SAe
ANS
g& ssor NOTARY PUBLIC 'Z`� 0 NOTARY PUBLIC
STATE OF FLUKIDAmSTATE:OF FLUKIIJA
Comm#FF150967Revised 07/15/2014 Comm#FF150967
�sExpires 10/11!2018 i
CE 1e1 Expires 10/11/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS