HomeMy WebLinkAboutBuilding Permit Application 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
PER IT APPLICATION FOR: Shutter ti
PC3PC3 RO`EQAfr fl � } � �� � � P i V
,_A c_^aa _ -�x.. t_tTnS_.._, ...4 _...a___ ., >.,»�'. v.-6.«..rt:¢ ..J='. yTi�"..�• n.E��9>>r� ..5. ?'..,.�h�...1U�r" � .'�...J'�",`, P gA
Address: 2751 COOLRIDGE RD. FT. PIERCE FL.34945
Legal Description. MODEL LAND S/D 23,35,39 N, 1/2 OF N 1/2 OF LOT 8
oc.✓v
Property Tax ID#: 501-0043-000-9 Lot No.8
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
� �u
��
INSTALL 10 -ACCORDION SHUTTERS AND 1 OPENING WITH 28 GAUGE STEEL PANELS. ALL
ON THE SECOND FLOOR:
�110WO E;_;i�"*..,.r�.1`
�#�
.i.� >- m *+". �� ,_ .. its- � ��.,,._.+ g .. , .,.�a ...._ �:'_.. a��,�'z�`.���.'- �Sv�z�°s• ,..;. x�_
Itlona wor to e e orme un er t Is permit-c ec a appy:
HVAC �Gas Tank ❑Gas Piping �_Shutters Windows/Doors
a
Electric um ng Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 3380.00 Utilities. Sewer Septic Building Height:
J
- 1
��{�q� v e� ,," k w� 4 x�g--
v `;:°K!-�.8.. .r.
Name WILLIAM CENTER Name: VAUGHN HOSKINS
Address:2751 COOLRIDGE RD. Company: V H EXTERIORS INC
City: FT.PIERCE State:FL Address: 543 NW WAVERLY CIRCLE
Zip Code: 34945 Fax: City: PORT ST. LUCIE State:FL.
Phone No.863-412-6508 Zip Code: 34983 Fax: 772-871-2567
E-Mail: Phone No. 772-871-6484
Fill in fee simple Title Holder on,next page(if different E-Mail: VHEXTERIORSINC@GMAIL.COM
from the Owner listed above) State or County License: 21579
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
'W
pq
a
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:TOWN&COUNTRY IND Name:
Add ress:400 WEST MCNAB RD. Address:
City: FT.LAUDERDALE State: FL. City: State:
ZIp: 33309 Phone954-970-9999 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 to obtain financing, consult with lend an attorney before
cotlomencing wo or recording our Notice of Commen m nt.
Signature of Own r Lessee/Contractor as Agent for Owner Signature of Co tr for/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST.LUCIE COUNTY OF-L.-E
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this S day of VA0\1 2011 by this B day of CL V V 20%1 by
1iikVQ& s yS\ �oSklr45
Name of person making statement Name of person making statement
Personally Know—rt--A OR Produced Identification Personally Known `A OR Produced Identification
Type of Identification Type of Identification .
Produced Produced
(Signature of Notary Public-State of Florida) (Signa ure of Notary Public-State of Florida)
Commission No. �g ��� (Seal) Commission No. , _ I
JEAN RALPH G:#FF
TTE � �N, ,, JEAN RALPH QACHETTE
��e�'/I• +? ;+� MY COMMISSION FF 152161
IA! MY COMMISSION52251e BondOd MU eults
lust I U,2018 7bfu Nei@y P bllC Underxr ters
REVIEWS FR R PLANS VEGETA - - - E
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17