HomeMy WebLinkAboutBuilding Permit Application D e, 13
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
SID
Kola!ow
- - -- Building Permit Application JILL i
Planning and Development Services PERFA1Z-1"IkNIG
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
PROPOSED IMPROVEMENT LOCATION:
Address: 88 Mediterranean N Blvd
Legal Description. St Lucie Gardens 26 36 40 that part of Blks 1 &2 LYG ELY of US#1 as shown In or 2389-720 Being
Lot 88 Mediterranean N
Property Tax ID#: 3426-500-1025-000-0 Lot No.88
Site Plan Name: Block No. 1 &2
Project Name: Tucker Residence
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: . rr��
ivy t,4 /Gs
CONSTRUCTION, INFORMATION:
Additional work to be e orme undert —checkispermit a appy:
HVAC Gas>Tank '-t` `fir� ' Gas Piping Shutters "'t G"i"'"4•{W1ndoviis�f3odrs
❑ .. ❑
Electric ❑ Plumbing Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: q S . Ft.of First Floor: .
Cost of Construction:$ �G� ! Utilities:'n Sewer F]Septic Building Height:
OWN ER/LESSEE: CONTRACTOR:
Name Lizabeth Tucker Name: Edward J Heritage
Address:88 Mediterranean N Blvd Company: Folding Shutter Corporation
City: Port St Lucie ;.- State:F� Address;;'"7089 Hemstreet PI
Zip Code:'34952 Fax. Gty:;West Palm Beach•,.: State:FL
Phone No.772.284-6312 'Zip Code:'33413' ':'= Fax: 561-640-8204
E-Mail:nla 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.
i
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 Counter 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.
<Z�A �i - s
Signature of Owner/L trac as Agent for Owner Signature of Contr ' nse o
li STATE OF FLORIDA ��'m E� STATE OF FLORIDA.F 4- �t �tAc�
COUNTY OF COUNTY OF
The forgoing instrument w s acknowledged before me
The for oing instrum nt yeas acknowledged before me g g � f g
this day of l� 20 Eby this day of J 1 20 t7 by
lEdWard-3. Heritage Edgard-3. Heritage
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary 7OR
tate of Florida) (Signature of Notary Publi tate of Florida
Y )
Personal) Known Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FFISoltL-7 (Seal) Commission No. Fr—!J-0 k-7 (Seal)
� Y PAMELA A.EVANS
p1ARY PAMELA A.EV S o NOTARY PUBLIC
c� o dSTATE OF FLORIDA
Revised 07/15/2014 0 -STATE OF FLORIDA W ?Comm#FF150967
?Comm#FF15096710/ 1/9n1A
SINCE A9�� Ex
xpireS
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS