HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST/BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 170a?�y0a? • 67�1
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RECEIVED
Building Permit Application FEB 6 2017
Planning and Development5ervices
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
Address: 9223 CHAMPIONS WAY, PORT ST LUCIE FL.34986
Legal Description:
LAKES AT PGA VILLAGE BLK-B, LOT 12
Property Tax ID#: 3334-501-0090-000-0 Lot No.12
Site Plan Name: Block No. B
Project Name:
Setbacks Front Back: Right Side: Left Side:
QETA�LED l��SCRIPI`!ON OFINORK
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INSTALL 15 -ACCORDION SHUTTERS
CI "fRUCTIIINCIRMATIC3Ng
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Additional work to ne nertormed under this permit-check amy
appy:
HVAC Gas Tank []Gas Piping Shutters []Windows/Doors
Electric ❑ Plumbing Sprinklers ❑Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 6500.00 Utilities: Sewer Septic Building Height:
C31�lN�R�� �S�E� �a ��� ��� � ��C►NTRI��`�t)R � � - � `
NameKIM WONJA Name: VAUGHN HOSKINS
Address:9223 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.772-800-3171 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.
SUI�PL�t�i�N7'' ►L�t�NSTRUCTI4N L{ N'LA1N I��C}EtiVIATiON� `�� �� � '�` � ,
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DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x_Not Applicable
Name: TOWN BCOUNTRY IND Name:
Address: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 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 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
comm ncing work or recordi our Notice of Commencem nt.
A%q s
Signatu of O /Lessee/ ntractor a e ctn Signature of ontractor/License Hol er
STATE OF FLORIDA '°9i!.... STATE OF FLORIDA
,,
COUNTY OF 5TLUCIE µ,, COUNTY OF -LUCIE
The forgoing instru t was acknowledged geT o The forgoing instrument was acknowledged before me
this day of 20/ o MK this day of �A 6� 20 `� by
d �m
�T� Iv��►N' 05�;N5
(Name of pe son acknowledging) (Name oT acknowledging)
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(Signature of NotVy Public-State of Flo a) (Signature of Rlotary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identifi tion Produced Type of Identification Produced
Commission No. (Seal) Comm' eal)
JEAN RALPH GACHETTE It
MY COMMISSION I#FF 152261
1 O
Revised 07/15/2014 4yo�+ BondedThruNotaryPublicUnderxrters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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