HomeMy WebLinkAboutBuilding Permit Application (\, ALL APPLICABLE INFO MUST
BE COMPLETED FOR APPLICATION TO BE ACCEPTED ) /
Date: 1 + ) I 0 Permit Number:
FS
Building Permit Application
Planning and Development Services JAN 18 2018
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: 6643 Alemendra
Legal Description: Spanish Lakes Fairways Blk 50 Lot 23
Property Tax ID#: 1306-500-0171-000-6 Lot No.23
Site Plan Name: Maria&Dewey Greger Block No. 50 `
Project Name: GREGER
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: ..
-
C��
CONSTRUCTION INFORMATION:
Additional work toe �,,rtormed uner t is permit—c ec a appy:
HVAC I= FG6sYaA biz; V ��;�`Gas Piping Shutters ' = ' Wi
i nd'a s/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of,Construction: SFt.of First Floor:
Cost of.Construction:$ -I Utilities:In Sewer 0 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Maria&Dewey Greger Name: Edward J. Heritage
Address:6643 Alemendra Company: Folding Shutter Corp
City: Fort Pierce State:FL Address: 7089`Hemstreet.Pl
Zip Code-:'34951 ' Fa.x: City: .West Palm Beach ,: . State:FL
Phone No.772-971-8244.;' Zip Code: 33413. 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@foldingshufters.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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x 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 to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
s
Signature of Owner/,L see/Contras r as Agent for Owner Signature of Contract6r_-/Licej3ae_HoTder.
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF PALM BEACH COUNTY OF PALM BEACH
The forgoing instrurp,ent was acknowledged efore me The for oing instrument was acknowledged before me
this+day of Ue-C 20lby this day of—DEC 20 by
1
Edward-3. Heritage EdWal°d:3. Heritage
(Name of person acknowledging) (Name of erson acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known ✓ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced � Type of Identification Produced ^7
Commission No. /—rl SD�6 /7 ( ELA A.EVANS Commission No. rFI-5C)/ / (Seal)
AMER1 40 NOTARY PUBLIC �ZARYgss PAMELA A.EVANS
� o NOTARY PUBLIC
&wCeIrF"
STATE OF FLORIDA
Revised 07/15/2014 ': Comm#FF150967 WComm#FF150967
s�NCE 19�� Expires 10/11/2018 Expires 10/11/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS