HomeMy WebLinkAboutBuilding Permit Application I
TALL 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 j
2300 Virginia Avenue,Fort Pierce Ft 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED 1WROVEM ENT LOCATION
Address: 1409 Lancewood terrace,Palm City,FI 34990
legal Description:ARBOUR RIDGE-PLAT 9-LANCEWOOD VILLAGE UNIT 19(OR 2580-904;3940-2502)
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Property Tax ID#:4426-804-0029-000-7 Lot No.
Site Plan Name: ' Block No.
Project Name:Donna King
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Setbacks Front Back: RightSide: Left Side.
IDETAILED�DE5'CRIPTION ]F WORK
Installation of Hurricane Protection
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'CONSTRUCTION INFORMATION
Additional work to be nAr rmed under this permit—check all appy:
HVAC Gas Tank ❑Gas PipingOGenerator
Shutters a Windows/Doors
11Electric El Plumbing Sprinklers E Roof
(Total Sq. Ft of Construction: S .Ft.of First Floor;
;Cost of Construction:$ 18,350.12 Utilities: Sewer Septic Building Height:
OWN ER/LESSEEA_ _ .-CONTRACTOR '
Name Donna King Name:Robert Altino
Address: 1409 Lancewood terrace Company:Galeforce Hurricane,Shutters,inc._
City: Palm City State: Fl Address:7636 South Federal Highway
Zip Code: 34990 Fax: City:Port St.Lucie State:Fl
Phone No. Zip Code: 34952 ; Fax:772-621-8159
E-Mail: dhoff53(Daol.com Phone No. 772-337-6200
Fill in fee simple Title Holder on next page(if different E-Mail:raltino(a,ifssfcom
!from the Owner listed above) State or County License:CBC1251430
:If value of construction is$2500 or more,a RECORDED Notice of Commencement is re uired.
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5UFPLEMENTAL 70 -TION MON SLIEN°'LAIN INFORMATION: ''
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: i
city: city.
Zip: Phone: ZIP: hone:
Il certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Countv makes no representation that is granting a permit will authorize the permit holderto build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenantsthat may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restflctions 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 I nder.or an attorney before
commencing work or recording our Notice of Commencement.
lo ature of Owne/ e t/Lessee u �r�ffifad6flLlNenkekold.er
STATE OF FLO IDA STATE FLORIDA
COUNTY OF '• � COUNTY OF
The f +going Inst ent was acknowledged before me The forgoing instru Int was acknowledge before me
this i day of 20 A by this�day of 20� by
43-kfWl LA
{Name of person ack ledging} {Name of person a 'owledgin,g}
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{ t re of Notary Public-5tte of Florida) (Sig"rg of Notary; iblic-Sirate oflFlorida}
Personally Known OR Produced Identification Personally Known OR,Produced Identification
Type of Identification,Pr_odueed Type of Identification(Produced
LASHAHNAIt�GRAM
Commisslon No. °`sem ` Nota+{ 1 state of Florida Commission No. V t ; PtigHNA INGRAM
My Comm.Expires Dec 20,201 s ;=n I� Notary Public-State of Florida
commission#FF 177249 * My Comm.Expires Dec 20,2018
•'''°� °' Bonded through National Notary kssn. I s;9� o��.�; Commission#FF 177249
Revised 07/1512011- I
''�° �"' Bonded through National Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION, SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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COMPLETE
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