HomeMy WebLinkAboutbuilding Permit ApplicationDESIGNER/ENGINEER
Name',
Address,
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Not Applicable
State:
Zip; Phone:
f=EE SIMPLE TITLE HOLDER, Not Applicable
Name;
Address',
City
Zip', Phone;
MORTGAGE COMPANY'.
Name;
Address-,
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Zip'. Phone'.
BONDING COMPANY,
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Address'.
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I certify tliat no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is grantingoc atlonl rullesahylaws or anduthor'j-zp the peovenarmit �ts that mer to aydr-strict tha bor prohibit
ct such
which is in conflict with any applicable Home Owners As
structure, Please cons�iltwlth your Home Owners Association and review your deed for any restrictions which may apP Y
In consideration of the granting of this requested permit,
I do hereby agree that I will, in all respects, performthe wor)<
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The (ollawing 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
in �our
ing
ce for
WARNING TO OWNER; Your failure to Record a Notice of Commencements y red su and posted'onthetjobsite
improven'ments to your property, A Notice of Commencement mustconsult be
lender or an attorney before
before the first 'Inspection. If you intend to obtain financing,
Icommencing work or recording our Notice of Commencement,
Signature of U er/ Lessee/Ag
ent Signature of Contractor/License Holds
STATE OF FLORIDASTATE OF FLORIDA
COUNTY OF 1— �Ucl COUNTY of JT_
Thiforgoing instrument Was acknowledged before me
this J) day of GGS_ , 2011_b>
Name oftperson acknowledging
The forgoing Instrument was acknowledged before me
tl-)ls_3__0 day of f ®GT , 2D / % by
—
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_-A_A
(Name of person ackn5�ledging )
b
s
1 L441, (Signature of Notary Public -State of Florida �
(Sighature of Notary Public- State of Florida
Personally Known OR Produced Identification
Personally Known OR Produced Identlfica,tion IF Type of Identlfication Produced
Type of•Identification Pr duPp�`''. r•:(SeaI�LE FUCommission No, - �,••_�IIssIoNFFo6455e Commission No,M ' COIr SS1 Ih I ION EXPIRES October 20, 2017?��,�' 8-D153G-DilaFlorldaNc)[aryse
Re-\rised 07/15/2014
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
COMPLETE
INITIALS
SUPERVISOR PLANS VEGETATION SE
TURTLE MRS TROVE
EW
REVIEW REVIEW REVIEW
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
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
PRC1P05E.DIMPRC3UEMENT LOCATION;
Address: 8928 Champions Way, Port St Lucie, FL 34986
Legal Description: Lakes at PGA Village Block A
Property Tax ID #: 3334-501-0063-000-2
Site Plan Name:
Project Name: Marie Palleiko
Setbacks Front
Back: Right Side: Left Side:
INSTALL 12 ACCORDION SHUTTERS
HVAC 1:1 Gas Tank
Electric ❑ Plumbing
Total Sq. Ft of Construction: 2856
Cost of Construction: $ 7557
Name Marie Palleiko
Address: 8928 Champions Way
Lot No. 49
Block No.
this permit — check all that apply:
F]Gas Piping V I Shutters ❑ Windows/Doors
OSprinklers El Generator ❑ Roof Roof pitch
Sc. Ft. of First Floor: 2086
Utilities: _ -]Sewer[] Septic Building Height: 12
City: Port St Lucie State: FL
Zip Code. 34986 Fax:
Phone No. 772-577-6885
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Michael O'Donnell
Company: O'Donnell Contracting
Address: 6402 SE Federal Hwy
City: Stuart State. FL
Zip Code: 34997 Fax: 888-833-0164
Phone N o . 772-408-0200
E -Mail: rcdonne11311 @gmail.com
State or County License: CRC1331273
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.