HomeMy WebLinkAboutBuilding Permit Application 0Gaa201700:k, 106
ALL APPLI ABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I q o
Date: Permit Number:
Building Permit Application _
Planning and Development Services AUG 0 9 !_zn?
Building and Code Regulation Division PERUN171NG
2300 Virginia Avenue,Fort Pierce FL 34982 St. LuO County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XX
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 6606 Gaviota
Legal Description: Spanish Lakes Fairways Blk 41 Lot 25
Property Tax ID#: 1306-500-0127-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Hayes Residence
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
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CONSTRUCTION INFORMATION:
Additional work to bg pertormed under tispermit—c check a appy:
HVAC -�?GasTank" E-3"1 �` Gas Piping _Shutters S :l r(11VirtSl yG JDgo s
Electric Ei Plumbing Sprinklers I Generator 0 Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ o Utilities:Sewer Septic Building Height:
OW N ERAESSEE: CONTRACTOR:
Name Wayne&Kathleen Hayes. Name: Edward J Heritage
Address:6606'Gaviota->.• Company: Folding Shutter Corporation'
City: Fort Pierce °'! State:FL;# t.' Address: .7089 Hemstreet PI
Zip Code: 349.51 I Fax v: "` "City,.,-Wes Beach State:FL
978=758=8499 : , t.,;.
Phone No. t ZipZode:�'334.3 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.
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 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.
Signature of Own er/L r as Agent for Owner Signature of Contractor r
STATE OF FLORIDA �� STATE OF FLORIDA
COUNTY OF ��' COUNTY OF .
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 1�by this day of 20 l? by
-Edward-]: Heritage Edgard 3. Heritage
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Pu lic-State of Florida)
Personally Known ✓/OR Produced Identification Personally Known_ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Fri 5o 4 c•7 (Seal) Commission No. PAMELASA.*)MNS
PAMELA .EVANS �� s� NOTARY PUBLIC
NOTARY UBLIC o s
R:PA3:r=or.FLORIDA
$STATE OF FLORIDA o
Revised 07/15/2014 y, Comm#FF150967 *" � k"7 Comm#F 0/11/27
NCE 19 Ex ares 10N 112018
9�� 10111/2018 p
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS