HomeMy WebLinkAboutBuilding Permit Application 03,;0�01-7d01 C/v
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SSG.• ip. f? Permit Number: / T _ 0_15 103
RECEIVED
Building Permit Application
Planning and Development Services APR 2 6 2017
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
i
PERMIT APPLICATION FOR: ShutterEl
PROPOSED IMPROVEMENT LOCATION:
Address: 1917 Lynx Dr
Legal Description:'Riverpointe at the Sands Phase II Lot 14
Property Tax ID#: 1425-620-0007-000-1 Lot No.14
Site Plan Name: Block No.
Project Name: The 1k and Gulasky Residence
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK!
n 541
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check all that appy:
HVAC Gas Tank 0Gas Piping Shutters Q Windows/Doors
Electric 0 Plumbing SEl 'prinklers E]Generator Roof Roof pitch
Total Sq. Ft of Construction: L R S . Ft.of First Floor:
Cost of Construction:$ 1 :7 :5,6 Utilities: _Sewer F]Septic Building Height: Z
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.GWINER-/LESSE =,Q_,_i,_v,�.-,, .ZQNTFAC OR:
.,r,�PKIMi-,
_i-,
Name0l P rd Tnelkand,§; sannd'Gulasky N81T1 dwarii il Heritage
Address 1917 Lynx Dr i 4 Company(E9,09.6uttercorporayon
Clfy Hutcf�inson Island State:FL AddGpss, 7689 Hemstreet
' 3494( ' ` "`°CIVe�t^PalmBeach, FL
Zip Code: Fax: pity. State:
Phone No.412-491-3921 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.
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Signature of Owner/ ee Con for as Agent for Owner Signature-of Contra Wile Ho r
STATE OF FLORID STATE OF FLORIDA
COUNTY OF c COUNTY OF,------ t�a/,1, A"--A
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 'aVday of 20 11 by this day of ,20 j7by
��1(/L�G i ct J 6`l P✓.`�Gi f cll.0/9.;d <--
(Name
(Name of person acknowledging) (Name of person acknowledging)
49-natuFe-of Notary Public-State of Florida) igmtune ofNotary'Pu ic-State of Flori
Personally.Known xx OR Produced IdentificationJFlorla
sonally Known
Type.of Identification Pro n ul�n!Fila of Identification Pr du ����.
'���`Y P����� . Notal Public State Ot � b Notary Public-State of Florida
Commission No. FF�sose� =�? �'; l�pa��( mmission No. FFiSose� °. • Co( i)ori#GG 032330
Jmissiori#G6 03aN,�r C� My Comm.Expires OcC1 % oFc� '• yComm.Expires Oct 10,2020
�''���fill ` 8 nded through National Notal Assn.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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