HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4-24-2017 Permit Number:
RECE1"".70 JUAN ? 6 2917
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
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PRQPOSED IMP_ROUEM,ENT LOCATION r
Address: 1278 NETTLES BLVD. JENSEN BEACN FL.
Legal Description: NETTLES ISLAND INC,A-CONDO, SECTION 11, PARCEL 1278,
Property Tax ID#: 4502-501-1465-000-5 Lot No.
Site Plan Name: Block No.
Project Name: NETTLES ISLAND
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION QF WORK
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INSTALL ONE ACCORDION SHUTTER ON THE FRONT OF THE HOUSE.
CONSTRUINFOATION
CTION RM
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Additional work toe e orme under this permit—check a appy:
HVAC E] Gas Tank ❑Gas Piping I I Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 2075.00 Utilities:CnSewer 0Septic Building Height:
OWNER}/LESSEE CONTRACTOR S3'
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Name CHRISTOPHER BURGESS Name: VAUGHN HOSKINS
Address:1278 NETTLES BLVD Company: V H EXTERIORS INC
City: JENSEN BEACH State:FL. Address: 543 NW WAVERLY CIR.
Zip Code: Fax: City: PORT ST. LUCIE State:FL.
Phone No.772-708-2806 Zip Code: 34983 Fax: 772-871-2567
E-Mail: Phone No. 772-87176484
Fill in fee simple Title Holder on next page(if different E-Mail: VHEXTERIORSINC@GMAIL.COM
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: TOWN&COUNRTvwD. Name:
Add ress:400 WEST MCNAB ROAD Address:
City: Fr.LAUDERDALE State: FL. City: State:
Zip: 33309 Phone: 954-970-9999 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: X 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.
\�LYN� �n
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Signature of Own r/Lessee/Contractor as Agent for Owner Signatntractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY i/OF STLUCIE COUNTY OF STLUCIE
The f rgoing instrument as acknowledged before me The f rgoing instrument was acknowledged before me
this�day of 1 V 0 t . 20 ft-by this�� day of MJN- .20 N' by
\�Vo4s� t \\(J4 1YA IIII$ (,vA�Vl \�b5�iN5
(Name of person acknowledging) (Name of person acknowledging)
(Signa re o otary Public-State of Florida) (Sign re 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.�� r �
-pun�iynd 41aepu08 ,ao��.id3 , Commission No. `2 (Seal)
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS