HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED a
Date: Permit Number:
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Building Permit Applica RECEIVED
Planning and Development Services
Building and Code Regulation Division 0 C T 31 2017
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial i0l x nt
PERMIT APPLICATION FOR: Shutter UCIe ounty, FL
PROPOSED IIVhP.ROVEMENT'L`OCATIO`N:
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Address: 7309 Mystic Way
Legal Description: Mystic Pines at The Reserve Lot 27(or 3619-2391)
Property Tax ID#: 3322-620-0032-000-5 Lot No.27
Site Plan Name: Block No.
Project Name: Medeiros
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION;OF`VI/ORK.' "
2
Install Accordion Shutters /
CONSTRUCTION"IN FORM- TION a r
Additional work to e e orme under this permit–check a appy:
HVAC 13 Gas Tank ❑Gas Piping �_Shutters ❑Windows/Doors
11 Electric 0 Plumbing []Sprinklers E Generator E] Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ o�,y�� Utilities: Sewer Septic Building Height:
01NNER/LESSEE: CONTRACTOR.':
Name-&"6d a��a�' 304 t T. Name: John Zervopoulos
Address:7309 Mystic Way Company: Advanced Hurricane Protection
City: Port St.Lucie State:FL Address: 4517 SE Commerce Ave
Zip Code: 34986 Fax: City: Stuart State:FL
Phone No.978-808-0483 Zip Code: 34997 Fax:
E-Mail:mamedeiros24@gmail.com Phone No. 772-220-1200
Fill in fee simple Title Holder on next page(if different E-Mail: .lohn@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.
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DESIGNER/ENGINEER: Not Applicable MORTGAGE 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 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 obtain financing,consult with lender or an attorney before
commencing work or recording o otic of Commencement.
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Signa e'of Ov Lessee/Contr r as Agent for Owner =70RIDA
ractor/Lice r
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COUNTY OF COUNTY OP 'S�'.L Uc'%S
The forgoing instrument was acknowledgeAbefore me The forgoing instrument was acknowledged before me
this S\ day of O c- . 2011 by this S day of dc:N .20 by
5�ln�F 2gcyoAa�\05 �d1n,n. Ze�nan��a5
(Name of person acknowiedgi g) (Name of person acknowl dging)
(Signature of Notary Pub'&--State of Florida) (Signature of Notary ublic-State of Florida)
Personally Known Personally K e tification
Type of Ident o uce RNs Type of Iden ic#tia Produc _
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW' REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS 1