HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED LL_
Date: Permit Number: O - o �J
RECOVED
Building Permit Application
OCT 2017-
Planning and Development Services PERMITTINGSt. Lucie County, FL
Building and Code Regulation Division ty
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Shutter
PRO[3OSEDtIVIPRtJ17EM,ENT LOCATION
1
Address: 6036 INDRIO RD
Legal Description: INDIAN PINES VILLAGFBLDG 4 UNIT 6 AND PRO RATA SHARE IN COMMON'ELEMENTS(OR 2702 1828)
Property Tax ID#: 1313 501 0132 000 6 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION
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INSTALLATION OF 2 ACCORDION SHUTTERS
CONSTRUCTION INFORMATION
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Additionalworkto e e Orme under this permit—check a apply: ���
HVAC Gas Tank Gas Piping �_Shutters QWindows/Doors
Electric El Plumbing Sprinklers I Generator E] Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1,568.80 Utilities:Sewer F]Septic 'Building Height:
.CfWNERCONTRACTOR'
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NameVILLAMAR,FREDDY Name: JAMES SILVIA
Address:6036 INDRIO RD.#6 Company: PALM COAST FLORIDA COMMERCIAL DEV., LLC
City: FORT PIERCE State: FL Address: 505 BEACHLAND BLVD#5,
Zip Code: 34951 Fax: City: VERO BEACH 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: CBC 1258218
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATEON i 3 li
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: of Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Aot Applicable BONDING COMPANY: i,<Vot 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. I you intend to obtain financing, consult with lender or an attorney before
commencingwork or recor in our Notice of Commencement.
//JAI
s
Signature offl)"�/6
ntractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF i111,91,410�yrAZ—
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this '7 day of .30 L-Y 20 Eby this �70 day of al,J Jq 20 1 by
��_ A r�(Es ��yi✓-f
(Name of peknowledging) (=ng)
person acknowle g ng)
vV�
(Signature of Notary Public-State of Florida) (Si re of Notary ublic-State of Florida)
Personally Known OR Produced Identification �>O Perso o ee fication
Type of Identification Pr iI E�aarr '�rsa iill_ Type Id ' tic91vaP4stp tarso 0
C^ ?Y9 Bk,(d6aa4 a; a� tsm:.,va; d' C�iovannm
Commission No. to _ C�aq+F ill i"rTM My Cammasaaon'FF 193077
(51 � Comm �piroo0ll2812019 ( e I)
I�(Piaii:� � S,GU6rJ Ok'F�
II ��� a`I` E' a`i �0 3Q3ARY.�44
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS