HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO-BE ACCEPTED ,
Date: �6�'Z l } 11 Permit Number:
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RECEIVED
--Bulid ing_Permit Applic 3tion
Planning and Development Serviceso C T -1 2017
Building and Code"Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 - Permitting Department
Phone: (772)462-1553 -Fax: (772)462-1578 Commercial tRrht" -F-�
i
PERMIT APPLICATION FOR: Shutter
PR"OPOSED`kIIVIPROVEME.NT LOit,
ATIONi
Address: 6804 Shelley Terrace,34952 .
Legal Description:'Oleander Pines Blk 1 Lot 6(0.25ac)(orl288-1389 '
Property Tax ID#: 3415-705-0007-000-6 , Lot No.6
Site Plan Name: Block No. 1
Project Name: Palumbo
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION bF RK.'
Install 1 accordion shutter
CtJNSTR'UCTIQN INFORMATION
Additional work oe er orme• under tis perm) —checka appy:
OHVAC - ri Gas-Tank Gas Piping . ✓ Shutters a Windows/Doors -
Electric" 1:1 Plumbing E]Sprinklers' 1:1Generator RoofRoof pitch
Total Sq. Ft of Construction: S'. Ft. of First Floor:
Cost of Construction:$ /i LP 0� 00 Utilities:CnSewer ElSeptic Building Height:
O.V1/NER%LESSEE.. ` i CONTRACTOR ri x
Name Claudette A Palumbo Name: John Zervopoulos
Address:6804 Shelly Terrace Company: Advanced Hurricane Protection
City: Port St Lucie State:FL Address: 4517 SE Commerce Ave
Zip Code:.34952 Fax: City: Stuart -FL
Phone'No.,772-467-0461, Zip Code:'34997 Fax:
E-Mail:corky6804@att.net Phone No. 772-220-1200
Fill in fee simple Title Holder on next page(if different E-Mail: John@AdvancedHurricane.net =.
from the Owner listed above) State or County. License: CBC1259339
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
1
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I.W�ON
DESIGNER/ENGINEER: Not ApplicableMORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
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 apermit 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 W obtain financing,consult with lender or an attorney before
commencing work or recording o otic of Commencement.
s
SigGeof Lessee/Contr ras Agent for Owner =ORIDA
ractor/Lice STRIDA'
COUNTY OF 5; LUQ\4PL COUNTY OF
The forgoing instrument was acknowledge6before me The forgoing instrument was acknowledged before me
this�day of O cit . 2011 by this 33 _day of Oc!:N ,20 12_by
5�ti.•� 2�cdcAa,�1a5 �d1nr. Ze��nl,�1i`aS
(Name of person acknowledge g) (Name of person acknowl dging)
(Signature of Notary Pub' -State of Florida) (Signature of NotaryPublic-State of Florida)
Personally Known Personally K e t_ification
Type of Ident o uce S Type of Iden fi $iaf Pr04U edw P11.4
Ptp4 ePb3'4 ..
COMPdlI$SION#GG 0 2 20 y y1r COMPdISSiON�k GG 0�Q 3
Commission s II�ES:DerAntyF�
COmmI55IOn bv. ES:Decemberd5@
`s;,.., •�,: „•• onde Thnr Notary Pubic Underwrite
Bonded Thr"fJolary?uhlfeden:dtere
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE I
COMPLETE
INITIALS