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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1169 - o--S�o1, Date: Permit Number: RECEIVED Building Permit Application SEP 2 , 017 PERMITTING Planning and Development Services St. Lucie County, FL Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line rw4else PROPQSEDIMPROVEME:NT LOCATI'ON': Address: U5 �u�LT kQ--roe ��• Le al Description: Ro0-21-9 l qI "°i Property Tax ID#: o ^ M" of Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: D+ETAILED DESCRJFTION OF.WORK n5 11 2, Roc bv-ol< o n CONSTRUCTION IXFORIVIATION Additional work toa er orme under this permit—check a that p y: ❑HVAC 11 Gas Tank Gas Piping a Windows/Doors Electric ❑ Plumbing Sprinklers El Generator Roof Roof pitch Total 5q. Ft of Construction: SFt. of First Floor: O© Cost of Construction: $ Utilities: ._Sewer Septic Building Height: QVVNER/LESSEE: CONTRACTOR: .. Name Wb2 rd W 0C)d Name: fcL:5� Address:to II : u�N 0 � o 5 Company: r G�. � r-T City: lir C� Stater. Address: S OfY'I^M���e. Q Zip Code: 3 q `S I Fax: �2 City: `V V-0 C`► ) State: NW-)2 �•2` Phone No. � + � �� �J r1 I Zip Code: _ o Fax: (3q2) E-Mail: Phone No. (39-lz q 220c) Fill in fee simple Title Holder on next page ( if different E-Mail: a-f- t r k A a_S�ACay from the Owner listed above) State or County License: af-1-;G d 053 if value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATIO'N:.` 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 Sign ure of Owner/Lessee/ o ntraca6lr gent for Owner Sign ure of Contractor/License Holder STATE OF FLO IDA STATE OF FLOR DA COUNTY OF �n�l Ct n l V.2�� COUNTY OF k (Akan t The for ng instru ent was acknowledged before me The for o'ng instru ent was acknowledged before me thisay of r192_ 20 .�by this day of n9. 20 jJ by (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Publiq4,Yate 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 "•' : "lirncdan'ryi tLETICIATR / 7 ?•N_.++ �"'� (M$yeFaOmI)mLE;TEIxCpIAir TREJOmCommission No. on No.mis NotaryPublic-Stateof Florida MCommission#G 103711 Commission A GG 103721 X7..' Comm.Expires a101011 hmugh National Notary Assn. Bonded . Revised 07/15/2014 " REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW 7 DATE COMPLETE INITIALS Factory&Showroom 1055 Commerce Avenue.'Vero Beach, FL 32960 FLORIDA SHU•r•ERS, Telephone(772)569-2200•Toll Free 1-800-741-2202 ' FAX(772)567-3674 SINCE 1979 Contact Number:772-489-7837 105.QI.17 Email: Name:Mr.&Mrs.Wood Job Name:Same Street:6543 Nuevo Lagos Street: City:Ft.Pierce I State:FL Zip:34951 City: I State: Zip: Subdivision:Spanish Lakes Fairways Subdivision: I.To furnish and install Florida Building Code approved Impact Rated hurricane shutters on specified openings as follows: No. Exposure Code Description Size Type Price Remarks 1 East/Front N/A Window 86 x 76" Accordion — $776.00 2 West l Rear N/A Window 112 x 58" Accordion $945.00 Color. White If a wind mitigation report is needed please add$50.00 Florida Shutters Inc.is a state certified contractor Quoted prices do not include any permits and or engineering fees All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard industry practices.Any alteration or deviation from above specifications involving extra costs,will be executed only upon written orders,and Sub Total $1,721.00 will become an extra charge over and above the estimate. All agr ments are contingent upon strikes,accidents or delays beyond our control. This proposal subject to acceptance within 30 days. A Authorized Signature: Florida Sales Tax Included Dale R Brown. (/t,�/t+ 6�— In the unusual event in which the customer chooses to cancel a shutter order,the security deposit will not be returned. Total Contract Amount $ 1,721.00 Deposit Due on Order: 580.00 Approx.Delivery Date: 16-20weeks Balance Due on Completion $ 1,141.00 cceptance of Proposal The above prices, ecific io s a conditto s are hereby pled. You a authorized to do t e work specificed. Payment will be made as outlined above. ACCEPTED: .2®/7 Signature: Date: . ®�-