HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED \-)r35-0S-D"5
Date: S�-y I n Permit Number:
—' RECER—:0 MAY 24 2017
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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 X
PERMIT APPLICATION FOR: Shutter
PRQp05ED lMPRQUEIVIENT I_QCATION s
Address: 177 Mediterranean Blvd N
Legal Description: ST LUCIE GARDENS 26 36 40 THAT PART OF BILKS 1 AND 2 LYG ELY OF US#1 AS SHOWN I
N OR 2839-720 BEING LOT 177 MEDITERRANEAN N
Property Tax ID#: - - - d`-- ddd'Ck Lot No.
Site Plan Name: Block No.
Project Name: CARLONE/COTE
Setbacks Front Back: X Right Side: Left Side:
DEJ1jCS DERIPTlQNQI= WORK• a , Citi Ar
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Install 1 Manual Rolling Shutter System
�C3NSTRUCTlQN�INFOiMATIQN `' ��� s' a x�'
Additional work to be nertormed un er t is permit-c ec_a appy:
HVAC Gas Tank []Gas Piping �M
Shutters Windows/Doors
11
Electric ❑ Plumbing Sprinklers Generator E] Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ $1,649.00 Utilities:Sewer 0Septic Building Height:
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Name Joseph Carlone Eliabeth Carlone and Amy Cote Name: Michael Heissenberg
Address:177 Mediterranean Blvd N Company: Expert Shutter Services
City: Port Saint Lucie State:FL Address: 668 SW Whitmore Dr
Zip Code: 34952 Fax: City: Port Saint Lucie State:FL
Phone No. Zip Code: 34984 Fax: 772-871-0990
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder on next page(if different E-Mail: Callexpert@aol.com
from the Owner listed above) State or County License: 16572
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUP 'l. NtENTAL CQNSTRUCTIf}N 1:1N LAW INEORMATIQ(�:
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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 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
commencing w#r-k—&W.cor4ilig yourNotice of Commencement.
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Sign ture of Owner/ se Contrac as A nt for Owner Sig ature of Contractor/License Hol r
STATE OF FLORIDA l STATE OF FLORIDA LL
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COUNTY OF 1_J��, CI COUNTY OF -C
The for oing instrument was acknowledg d before me The forgQjng instrument was acknowledged before me
this �day of Q V 20)1by this L-t�dy ay of Q Q 20 by
(Name of person acknowledging) (Name of person acknowledging)Q6/�"
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(Signature of-Nota P lic-State of Florid (Signature of Notary Pu
blic- tate of Flor'
Personal) Known OR Produced Identification Personally Known Produced Identification
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Type of Identification Produced Type of Identification Produced
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*,,',"y4, HEATHER VIZZO
Commission N I 1 �0(° ogpRyA (SddQATHER VIZZO Commission N lI '�S1tARY PUBLIC
sNOTARY PUBLICSTATE OF FLORIDA
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Comm#FF176266 �yCE►`�� Expires 11/13/2018
Revised 07/15/2014QEiVJ'� Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS JI