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HomeMy WebLinkAboutBuilding Permit Application I ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED, Date: Permit Number: (0 •©c S-) I Building Permit Application OCT U 4 2017 Planning and Development Services Building and Code Regulation Division PERMITTING 2300 Virginia Avenue,Fort Pierce FL 34982St. Lucie County, FL Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x PERMIT APPLICATION FOR: Shutter El i P'ROPO ,SED IMPROVEMENT LOCATION Address: 6034 Indrio Rd., Fort Pierce, FL 34951 �l Legal Description: INDIAN PINES VILLAGE BLDG Q UNIT 4 AND PRO-RATA SHARE IN COMMON ELEMENTS(OR 1953-2731) I Property Tax ID#: 1313-501-0122-000-3 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: I DETAILED DESCRIPTION QF.WORK 'INSTALLATION OF 2 ACCORDION SHUTTERS I ' I COTRUCTI NSONINFORIVIATlON . '.. ._ �.. itiona work toa nertormed under this permt i —c ec k all that apply: 1_1HVAC Gas Tank []Gas Piping ✓ Shutters a Windows/Doors Electric ❑ Plumbing Sprinklers ElGenerator F� Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$ 1,749.39 Utilities: Sewer 11 Septic Building Height: I OWNERfLESSEE : CONTRACTOR Name •_ s . s ROBERT MULLETT Name: JAMES SILVIAI , Address:6034 INDRIO RD Company: PALM COAST FL COMMERCIAL DEVELOPMENT,LLC City: FORT PIERCE State: FL Address: 505 BEACHLAND BLVD#2 Zip Code: 34951 Fax: City: VERO BEACH State:FL:. Phone No. Zip Code: 32963 Fax: E-Mail: Phone No. 772 299 9955 Fill in fee simple Title Holder on next page(if different E-Mail: from the Owner listed above) State or County License: I If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. I I i • I . I i SUPPLEMENTAL CONSTRUCTION LIEN LA-W-INFORMATIDN DESIGNER/ENGINEER: _ of Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: I , 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 re I iew: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 Commencementmay 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. i s Signature of ner/Lessee/Contractor as Agent for Owner Signature of Contr r/License Holder I STATE OF FLORIDA STATE OF FLORIDA COUNTY OFd�yr¢N:221 . COUNTY OF i The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this—e,day of JIrP 20 ,L-4- by this Z!day of 00 20 i'T by i (Name of rknowledging) (Name of person ack ledging) i (Signature o Notary Public-State of Florida) (Signature of otary Public-State'of Florida) Personally Known O s) duce .1�� Iq Personally nown Florida d ,°f a 'n"It ^ Giovann`a�5rausal Type of Identification Prodi F. a._ G ! � t� „3.,;,., R Type of Id ntification Pr ;U r CUPVIIJiISSi(li 5 r""'� 1�, •'OFf'ofi° Expires0112612019 Commission No. .�. ( wKS:(;cl�rkar'I Fr Commission No. rat/ p�ne�t'q����y!�p�,gntf q``' ��Wa7J'lilS71FIu3,iSU6h1i,Y_ '�3 i Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS I