HomeMy WebLinkAboutBuilding Permit Application a jai oot7663
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: I O lS1
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Building Permit Application im
Planning and Development Services PEI3'Jli TI`\!G
Building and Code Regulation Division
St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential xx
PERMIT APPLICATION FOR: Shutter �-
s
PROPOSED IMPROVEMENT LOCATION:
Address: 1904 LYNX DR
Legal Description: RIVERPOINTE AT THE SANDS PHASE II LOT 36
Property Tax ID#: 1425-620-0029-000-1 Lot No. 36
Site Plan Name: Block No.
Project Name: RUEB RESIDENCE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK .A
0SI-A 11 � �} �,ca•c,s7 i d�J S� 5���
CONSTRUCTION INFORMATION:
Additional work to be performed under t is permit—c ec a apply:
EIHVAC Gas Tank Gas Piping ✓ Shutters Windows/Doors
11 ❑ a
Electric 0 Plumbing Sprinklers E]Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
�
Cost of Construction:$ jl, DUtilities"nSewer Septic Building Height:
OWNER/LESSEE,: CONTRACTOR: ;
Name ROY RUEB Name: EDWARD J HERITAGE
Address:111 S 17TH ST-SE,. company-FOLDING.SHUTTER CORPORATION
City -FORESTLAKE state: Address 7089 HEMSTREET PL
Zip Code: 550258 'Fax: City: WEST,PALMLBEACHY' State:FL
Phone No.651=283-3403 Zip Code33413 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 CONSTRUCTIONIIEN 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 Owner/L oras Agent for Owner Signature of Contr er
STATE OF FLO I� �e COUNTY OFSTATE OF A �
COUNTY OF }}'' rrn
The f%getng instrum was acknowledgeefore me The foToing instr�nt was acknowledged before me
this > day of JV60e 20 !Y by this S day of `J u 20 17 by
i aw zu 14a-i-4'0' &4wawnp a a r-ri4�
(Name of person acknowledging (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. 1 r������ (SeaI1PAMELA A.EVANSI Commission Nor����G7 try (%MPLA A.EVANS
eat►xy. ,�NOTARY PUBLIC I NOTARY PUBLIC
c E OF STATE OF FLORIDA
W 1-Comm#FF150967s�NCE 190
Comm#FF150967
Revised 07/15/2014 `INCE 1911 Expires 10/11/2018 Expires 10/11/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS