HomeMy WebLinkAboutBuilding Permit Application �5� a zo I o 13 SL
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
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 14412 Aguila Ave, Fort Pierce, FL 34951
Legal Description: Spanish Lakes Fairways Blk 62 Lot 53
Property Tax ID#: 1306-500-0309-000-3 Lot No.53
Site Plan Name: Ryan Block No. 62
Project Name: Ryan
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION CIF WORK:
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CONSTRUCTION INFORMATION:
Additional work toe nertormed under this permit–check a appy:
E1HVAC Gas Tank Gas Doors Piping Shutters Windows
/Doors
— /
❑Electric El Plumbing Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: . S . Ft.of First Floor:
Cost of Construction:$ D� 9 Utilities:1nSewer❑Septic Building Height:
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OWNER/LESSEE: CONTRACTOR:
Name Clinton Ryan Name: Edward J Heritage
Address:14412Aguila Ave Company. Folding Shutter Corp
City Fort:Pierce `' ';.' State:FLAddress°7Q89.Hemstreet Place
Zip Coder 3.49,5:1,;;,, Fax: City:West F'aIm Beach State:FL
Phone No:772=418=3468` "'''` Zip:Code; 3341"3_.` Fax: 561-640-8204
E-Mail: Phone No. 561-683-4811
Fill in fee simple Title Holder on next page(if different E-Mail: info@foldingshutters.com
from the Owner listed above) State or County License: SCC131151041
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: x 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 thepermit 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 work or recording our Notice of Commencement.
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Signature of OwE2essee ctor as Agent for Owner Signature of Contra effidl&r
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Palm Beach COUNTY OF Palm Beach
The forgoing instrumpt was acknowledged before me The forgoing instrument was acknowledged before me
this;?J day of fl 20 V7 by this 23 day of S QT 20 by
Edward J Heritage`- Edward J Heritage
(Na70,
rson acknowledging) (Nging)
� ame of erson acknowlede.
(Signature of Notary Public-State of Florida) (Signature of Notary Public-.State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. r1::1504L f7 (Seal) Commission No. F 1�D 9G'7 A%-&A A.EVANS
PAMELA A.
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�Zr<R NOTARY PU
ANS _ NOTARY PUBLIC
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S E GF FLORIDA
STATE OF FLORIDA ,wir
Comm#FF150967
Revised 07/15/2014 Comm#FF15Q967 Ex ires 10/11/2018
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS