HomeMy WebLinkAboutBuilding Permit Application r
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ALL APPLICABLf INFO tALIST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Building Permit Application
Planning and Development Services 'I
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 .
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
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PERMIT APPLICATION FOR: Shutter
PROPOSED IMPR01lEM ''T LOGATI{
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Address: 6036 INDRIO RD.APT 4, FORT PIERCE, FL 34951
Legal Description: INDIAN PINES VILLAGE BLDG R UNIT 4 AND PRO-RATA SHARE IN'COMMON ELEMENTS
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Property Tax ID#: 1313-501-0130-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESC&RIPTfiCN QF WCIRK yE
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INSTALLATION OF ACCORDION SHUTTER ON FRONT WINDOW
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C NSTRLICTtN`TN £)RMATICtN a
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itionalworK-1700enertormed under this permit—check all appy:
EIHVAC Gas Tank DGas Piping _Shutters Windows/Doors
Electric ❑Plumbing Sprinklers Generator ❑ Roof Roof pitch
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Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 595.00 Utilities: Sewer Septic Building Height:
01UNERjLES�EE' E CONTRACTOR` r MP
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NameECKER, ROBERT Name: JAMES SILVIA
Address:6036 INDRIO RE.APT#4 Company: PALM COAST FL COMMERCIAL DEVELOPMENT
City: FORT PIERCE state: FL Address: 505 BEACHLAND-BLVD#2
Zip Code: 34951 Fax: City: VERO BEACH ;j State:FL
Phone No.N/A Zip Code: 32963 ^' Fax: 772-299-1958
E-Mail:N/A 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: CB61258218
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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StJPPLEMENT4L CONSTRIYCTION LIEN LAW INFQRMATIQN
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DESIGNER/ENGINEER: nA Not Applicable MORTGAGE COMPANY: Not Applicable
Name: ?� Name:
Address: Address:
City: State: City: I State:
Zip: Phone: Zip: Phone: I
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FEE SIMPLE TITLE HOLDER: �Ot Applicable BONDING COMPANY: C7414ot Applicable
Name: Name:
Address: Address:
City: City: I
Zip: Phone: Zip: Phone:
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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 thedpermit holder to build the subject structure
which is in conflict with any applicable Horne Owners Association rules,bylaws or an 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
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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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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contract-ol7trcense Holder
STATE OF FLORIDA STATE OF FLORIDA i
COUNTY OF z//Di .l�?r✓��, COUNTY OF Z�//�iA�I�,U&2
The for ng instrument was acknowledged before me The forgoing instrument was acknl wledged before me
this day of AJn,%SJ— 20 .1JL-by this /D day of ``� ro I 20 [-E_by
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(Name of perso ac nowledging) (Name of persontic owledging)
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(Signature of Nota ublic-State of Florida) ( ignature f Notary(Public-State of Florida)
.Personally Known.� OR Produced Identification Personally Known \ OR Produced Identifc ti
Type of IdentificaYoT n P� ? Type of Identification Prod i
f �r a;�+ffSi r5
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9' ° ` TMi Commission No. i Gio nn`�Drausal
Commission No. �0,�?gr(Sb l G F;_10il My� �i�tAsion FF 193077
y DMRB:0r%W'1,XytX " oenoo Expires 01/2612019
Revised 07/15/2014
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS �
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