HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST
��BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: n( •fes. 17. Permit Number: -70'R -®Qi
II,� RECEIVED
Building Permit Application FEB 6 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 X
PERMIT APPLICATION FOR: Shutter
PEtPOED I(1lIPRUVEMNT LCCATIC?N , f"
Address: 8900 CHAMPIONS WAY, PORT ST LUCIE FL.34986
Legal Description:
LAKES AT PGA VILLAGE BLK-A, LOT 56
Property Tax ID#: 3334-501-0070-000-4 Lot No.56
Site Plan Name: Block No. A
Project Name:
Setbacks Front Back: Right Side: Left Side:
LEDDEI CR�PTION OF`WC}RIC "
INSTALL 8 - ACCORDION SHUTTERS
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IN C3R(�IATIi�N
li nal work toa nertormed under this permit—check all pig appy:
HVAC Gas Tank E]Gas Piping 1✓ Shutters O Windows/Doors
Electric 0 Plumbing Sprinklers E Generator E] Roof Roof pitch
Total Sq. Ft of Construction: 5 Ft.of First Floor:
Cost of Construction:$ 6500.00 Utilities:Sewer[]Septic Building Height:
t /NR/LESS r * CONRACTORF�
NameGRACEYOO• Name: VAUGHNHOSKINS
Address:8900 CHAMPIONS WAY Company: V H EXTERIORS INC
City: PORT ST LUCIE State:FL. Address: 543 NW WAVERLY CIR.
Zip Code: 34986 Fax: City: PORT ST. LUCIE State:FL.
Phone No.718-683-0042 Zip Code: 34983 Fax: 772-871-2567
E-Mail: Phone No. 772-871-6484
Fill in fee simple Title Holder on next page(if different E-Mail: VHEXTERIORSINC@GMAIL.COM
from the Owner listed above) State or County License: 21579
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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4.
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: TOWN BCOUNTRY IND Name:
Add refs:400 WEST MCNAB RD. Address:
City: FT LAUDERDALE State: FL. City: State:
Zip: 33309 Phone: 954-970-9999 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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
commE:ncyng work or rqcofdLng your Notice of Commencement.
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Signature of OwnAr/L ssee/ ntractor a gent f Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST LUCIE
The fofy��oing instru nt was acknowledged befo 0" The forgoing instrument was acknowledged before me
this (D day of 20��by a m�7D this 3 day of �f0�, 20 L7 by
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(Name of p rson acknowledging) (Name of person acknowledging)
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(Signature of 6Atary Public-State of Flo ida ) R (Signature of Notary Public-State of Florida
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Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Co (Seal)
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MY COMMISSION#FF 152261
Bonded ThruNotary Public Underxdters
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS