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Building Permit Application
0195a o i 7©06) O ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1-1 Date: Ln n Permit Number: ` 1 d-z'l,C�O� R E C E P.' 'D J,1AR 0 2 7D17 Building Permit Application 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: 3340 Caracal Dr, Fort Pierce, FL,34949 Legal Description: Riverpointe At The Sands-Lot 11 Property Tax ID#: 1426-503-0016-000-0 Lot No.11 Site Plan Name: Block No. Project Name: Singer Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: PAcv�►S. CONSTRUCTION INFORMATION: Additional work to ei orme under this permit—c ec a y: HVAC ..,;LtlsGasT nk;«5`,: '`. Gas Piping _Shutterf;,, "=pj .` V1Cind Ws/Doors Electric �❑ Plumbing Sprinklers ElGenerator E] Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: 0 Cost of Construction:$ Fs5 Utilities: _Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Melvin Singer Name: Edward J. Heritage Address.:3440"Caracal Drive Company: Folding Shutter Corporation City: Fort.Pierce_ State:FL Address:! 7089 Hemstreet Place Zip Code: 34949 Fax: City: WesfPalm Beach State:FL Phone No.561=683=4811 Zip 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. 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. s Signature of"OwnerLe eel_Contract as Agent for Owner Signature-of Contr License er STATE OF FLORIDA STATE OF FLO A, r COUNTY OF �� COUNTY OF f-A 0- The forgoing instrument as acknowledged before me The forgoing instrument was acknowledged before me this ol''(day of 20 t?by this `�day of 20 L by Edward 3. Heritage Edward I Heritage, (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public-State of Florida) (Signature of Notary Public- tate of Florida) Personally Known�R Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. F r-050 L 7 (Seal) Commission No.j'FI�PG s PAI �4.EVANS �� sn NOTARY PUBLIC y PAMELA A.EVANS -STATE OF FLORIDA o� o,NOTARY PUBLIC a Comm#FF150967 Revised 07/15/2014 c ESTATE OF FLORIDA iy E �� Expires 10/11/2018 ?Comm#FF150967 E is Expir as 10/11/2018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS