HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �'CQ •�� Permit Number:
w P0 RECEIVED
Building Permit Application FEB 2017
Planning and Development Services FEB
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
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Address: 9133 ONE PUT PLACE, PORT ST. LUCIE FL.34986
Legal Description:
LAKES AT THE PGA VILLAGE, BLK-C, LOT 21
Property Tax ID#: 3334-501-0123-000-1 Lot No.21
Site Plan Name: Block No. C
Project Name: LAKES AT THE PGA VILLAGE
Setbacks Front Back: Right Side: Left Side:
INSTALL 18 -ACCORDION SHUTTERS
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wor to e e orme un ert Is ermit—c ec apply:
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HVAC Gas Tank Gas Piping rVIShuttersWindows/Doors
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Electric - Plumbing Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 6750.00 Utilities:CnSewer Septic Building Height:
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Name GERALD ROSS Name: VAUGHN HOSKINS
Address:9133 ONE PUT PLACE 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.772-359-1835 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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DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: TOWNBCOUNTRY IND. Name:
Address:400 WEST MCNAB RD. Address:
City: FTLAUDERDALE 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 thepermit 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 our property.A Notice of Commencement must be recorded and posted on the jobsite
before the firstin�sPsction. If you intend to obtain financing, consult with lender or an attorney before
commenci rtpcording your Notice of Commence ent.
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Signature o Owner/Lessee/Contractor as Agent for v[ :f Signature of ontractor/License Holder
STATE OF FLORID ?` `= STATE OF FLORIDA
COUNTY OF �� '' COUNTY OF
� A2ST LUCIE
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The forgoing instrume t was acknowledgeflefore i �o o The 17clay
ing instrument was acknowledged before me
this (p day of 20// by 2 m�m this of Fib 20 �by
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(Name of pr on acknowledging) o (Name of person acknowledging)
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(Signature ofoltary Public-State of Flo da) U (Sig re of Notary Public-State of Florida)
Personally Known le-l"O R Produced Identification Personally Knownn'�OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission NoA
MY COMMISSION OFF 152261
r rFXPIRFS.kigust 18,2018
Revised 07/15/2014 ;R;1`!� ` 8ondedThruNotaryPublcUnderxriters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS