HomeMy WebLinkAboutBuilding Permit Application 0a07 R I_1o1_7
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED -1
Date:
.3 l�1 Permit Number:
RECEIti''D iQ 02 2017
RM0
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: 3555.S. Indian River Dr, Fort Pierce, FL, 34982
Legal Description: 26 35 40 BEG 482.51 Ft of NW Cor of NW 1/4,TH RUN S105.85 Ft,Th E To Riv, Th, Nwly Onriv
Property Tax ID#: 2426-311-0006-000-1 Lot No.
Site Plan Name: Block No.
Project Name: McCleary
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: ,.
C? 1+acox_D�a iJ ZStt 0.71-4.5;
CONSTRUCTION INFORMATION:
Additional work to be ertormed under this permit-check a5shutters
11pHVAC ` < i_Gas Tanf< wOGas Piping O V1/indo sJboo s
Electric ❑ Plumbing OSprinklers O Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ �� Utilities:n Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Daniel McCleary Name: Edward J. Heritage
Address:_355�5S. Indian River Dr Company: Folding,Shutter Corporation
f }
City:
a t"IL'fice- . State:FL Address': 7089 Hemstreet_Place
Zip Code: 34982, Fax: City::West Palm Beach State:FL
Phone No.772-468-9316 Zip Code:'.33443:: 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.
r s
-S ignature—of-Owner/ a/Coritr r as Agent for Owner Signature of"Contra - icense H er
STATE OF FLORIDA � ��µ�� STATE OF FLORWA
COUNTY OF FOA-114c_
COUNTY OF ((7Z-ZAJQ_
The f r ing instrumyn was acknowledged before me The forgoing instrur le t was acknowledged before me
this ��day of F� , 20 !77-by this -Iq day of r� 20 !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
� O )
Personally Known ' R Produced Identification Personally Known �/ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. �I'1 SO q L7 Commission No. rF 5_6 ?G 7
�Ot Yds ILA A.EVANS -p�tR1 A {��LA A.EVANS
NOTARY PUBLIC
� o�NOTARY PUBLIC
O
WCEIS't74
Comm#FF150967 z Comm#FF150967
Revised 07/15/2014 Expires 10/1112018 '
Expires 10/1112018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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