HomeMy WebLinkAboutBuilding Permit Application I
ALL APPLICABLE.INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: /D' 9. /7 Permit Number: I�� —� /ea O
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Building Permit Application
Planning and Development Services OCT 1 9 2017
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462`1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Shutter El
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Address: 7625 BUTLER LANE, PORT ST. LUCIE FL.34986
Legal Description:
RESERVE GOLF VILLA,BUILDING 4,
Property Tax ID#: 3322-313-0005-000-4 Lot No.
Site Plan Name: Block No. 4
Project Name: RESERVE GOLF VILLA
Setbacks Front Back: Right Side: Left Side:
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INSTALL 5 -ACCORDION SHUTTERS
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Itlona wor to e e orme un er t Is permit–cieck all appy:
HVAC Gas Tank ❑Gas Piping �_Shutters ❑Windows/Doors
Electric PlumbingSprinklers 01 Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 2455.00 Utilities:]Sewer Septic Building Height:
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Name VICTORIA CASABO Name: VAUGHN HOSKINS
Address:7625 BUTLER LANE Company: V H EXTERIORS INC
City: PORT ST. LUCIE State:FL. Address: 543 NW WAVERLY CIR
Zip Code: 34986 Fax: City: PORT ST. LUCIE State:FL.
Phone No.305-510-6753 Zip Code: 34983 Fax: 772-871-2567
E-Mail: Phone No. 772-871-6484
Fill in fee simple Title Holder on next page(if different E-Mail: VHEXTERIORSINS@GMAIL.COM
from the Owner listed above) State or County License: 21579
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:1 TOWN&COUNTYR IND Name:
Address:400 WEST MCNAB ROAD Address:
City: FT.LAUDERDALE State: FL. City: State:
Zip: 33309 Phone954-970-999 Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 wo or recording our Notice of Commenceme t.
— lY�ft I � IV I \A\_,2:::A -
Signature ofOwner/Lessee/Contractor as Agent for Owner Signature o Contractor/Licens older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF--- COUNTY OF S ---
The for oing instrument as acknowledged before me The forgoing instrument as acknowledge before me
this A? day of Se,; 20-0 by this-M day of !Q, 26f) by
V oghki 06fk/41s- \f A y qW 14yk4d
Name of pgrson making statement Name o erson making statement
Personally Known VV OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
ign ure of Notary Public-State of Florida) (Sig ure of Notary Public-State of Florida)
Commission No. 1�2Z v mmission No. �5�2�� YP' (SQ
N"!
JEAN RALPH QACHETTE
MY COMMISSION FF 152261
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MY COMMISSION N FF 152261 r
EXPIRFS:August 18,2018 = . ,FF EXPIRES:August 18,2018
Ul� li ""' Bonded Thru Notary Public Undeowriters
$P u0nou
REVIEWS FRONT SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17