HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: . )�• /-7. Permit Number:
RECEIVED
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Building Permit Application MAY1 8 2017
Planning and DeveloprnentServices
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
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Address: 22 Maya Way,Port St.Lucie,FL 34952
Legal Description:wynne building corp .
Property Tax ID#:3414-501-1701-000-9 Lot No.
Site Plan Name: Block No.
Project Name:Melaughlin,Karen
Setbacks Front Back: Right Side: Left Side:
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Install 11 steel panel shutters
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Additional wor to er orme un er t s permit—c ec a [napply: r
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HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
11 Electric ❑Plumbing []Sprinklers Generator E]Roof
Total Sq.Ft of Construction:_ S .Ft.of First Floor:
Cost of Construction:$ 1034.29 UtilitiestSewer OSeptic Building Height:
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Name Melaughlin,Karen Name:Anthony Barbieri
Address: 22 Maya Way Company:All American Shutters&Glass,Inc.
City: Port St.Lucie State: FL Address:1638 Donna Road
Zip Code: 34952 Fax: City:West Palm Beach State:FL
Phone No. 518-369-4790 Zip Code: 33409 Fax:561-478-0222
E-Mail: dockster2003(a yahoo.eom Phone No. 561-712-9882
Fill.in fee simple Title Holder on next page(if different E-Mail: permits(u,allamericanshutters.com
from the Owner listed above) State or County License:CBC1250404
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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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 hay 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.-
- • �._._� fir- •�-
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Sfi.L u�(r COUNTY OF 5 1,
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this lo day of 14a�� 20 4 by this /0 day of /417%
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An0`4 1�0rbi� a
{Name of person acknowledging) (Name of persona knowledging
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Signa e of Notaryu -State of Florida) a x gnA re of Notary b�lic-State of
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Personally Know � OR Produced Ident� �>io� Pe onally Known OR Prod t3cation
Type of Identifi tion Produced �`'" ;oma% Type of Identification Produced ° •�s ;
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Commission No. (Se*0.^, 'z Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS