HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: I—]OW ;2,
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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 iResidential x
PERMIT APPLICATION FOR: Shutter
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PFC3PE3SEQ I;IVIPRC}VEMENT LOCA "I(3l
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Address: 4910 PALEO PINE CIR, FORT PIERCE FL 34951 j
Legal Description: HOLIDAY PINES S/D PHASE II B LOT 302(MAP 13/13/N)(OR 3854-1817)
Property Tax ID#: 1312-801-0105-000-6 Lot No.302
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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QETAILEQ DESCRIPTION"C1F WORKy3
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INSTALLATION OF HURRICANE SHUTTERS
Ct3N5TRUCTION INPORN ATION
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Itlonal work to be erformed under this permit—cleck all appy:
HVAC Gas Tank Gas Piping Shutters Q Windows/Doors
nElectric El Plumbing O Sprinklers FIGenerator E] Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 3,832.95 Utilities:i Sewer Septic Building Height:
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CONTRACTOR
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Name MC DONALD,AARON Name: JAMES SILVIAI
PALM COAST FLORIDA COMMERICAL DEVELOPMENT,LLC
Address:4910 PALED PINES CIR Company:
City: FORT PIERCE State:_ Address: 505 BEACHLAND BLVD.,#2
Zip Code: 34951 Fax: City: VERO BEACH i State:FL
Phone No. Zip Code: 32963 Fax: 772 299 1958
E-Mail: Phone No. 772 299 1955
Fill in fee simple Title Holder on next page(if different E-Mail. GIOVANNA@PALMCOASTSHUTTERS.COM
from the Owner listed above) State or County License: CBC1258218
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SkPFLENlE`N1'AL CL)NSTRCT1 .N LIEN LAW tNFOR11lA1IOlU�
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DESIGNER/ENGINEER: t Applicable MORTGAGE COMPANY: of Applicable
Name: NSA Name: WA
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: _,Z-Npt Applicable BONDING COMPANY: '"=y Applicable
Name: NIA Name: NSA
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 buildlthe subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that mhay restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions wich 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.
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Sig ature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDAi
COUNTYOF 7ZOR104 COUNTY OF tld�/D/�
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this�day of v 20 LLby this /Jday of _'v IBJ 20 L'�_ by
(Name of p son acknowledging) (Name of 7Dacknowle d 'n )
(Signature o Notary Public-State of Florida) (Signature of Nota blic-State of Florida)
Personally Known OR Produced Identification X Personally Known
Type of Identification Poff . a Type of Identification P'rodu d PAA. Public State of Florida
�`� nr �"�' zik;iifP ,F P r'!ra t _' Giovanna Drausal
7i ••M €vu:; EsdC M ission FF 193077
Commission No. �r,) " '(Seal)� �t; Commission No. o.�° E, ,- 1�2sr2o1s
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS