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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: as Permit Number: bl-G SO
RECEIVED
Building Permit Application JAN 2 5 2018
Planning and Development Services
Building and Code Regulation Division ST_. Lurie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 6018 PALMETTO DR. FT. PIERCE FL. 34982
Legal Description: INDIAN RIVER ESTATES, UNIT 06, BLK 18 S.20 FT, LOT 16,ALL LOT 17 AND N. 8 FT, LOT 18
Property Tax ID#: 3402-607-0103-000-8 Lot No.16-17-18
Site Plan Name: INDIAN RIVER ESTATES Block No. 18
Project Name:
Setbacks Front Back: —Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALL 12 - ACCORDION SHUTTERS AND 3 - OPENINGS WITH STORM PANELS
CONSTRUCTION INFORMATION:
Additional work to b rtormed under this permit-check all appy:
11HVAC Gas Tank []Gas Piping Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 4000.00 Utilities: Sewer O Septic Building Height:
01NNERWLESSEE: CONTRACTOR:
Name JOSE VAZQUEZ Name- VAUGHN HOSKINS
Address:6018 PALMETTO DR. Company: V H EXTERIORS INC
City: FT. PIERCE State:FL. Address: 543 NW WAVERLY CIRCLE
Zip Code: 34982 Fax: _ City: PORT ST. LUCIE State:FL.
Phone No.772-465-7789 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.
ifIL CONSTRUCTION LIEN LAW 14 FORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name:TOWN&COUNTRY IND. Name:
Address:400 WEST MCNAB RD. Address:
City: FT.LAUDERDALE State: FL. City: State:
Zip: 33309 Phone954-093-8551 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, onsult with lender or n attorney before
commencinp,work or recording our Notice of Commencem nt.
Signature of Owne /L see/Contractor nt for Owner Signature of Contrac License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST.LUCIE
The fo[going instrument was acknowledged before me Theoing instrument was acknowledged before me
this Z5 day of SraN 20& by this �for� day of 3AB 20 A by
V Qv4rl � s s k°w %'12� w !10 5k'ts s
Name of person making statement Name of person making statement
Personally Known V OR Produced Identification Personally Knowny OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(SignatuA of Notary Public-State of Florida) (Sig of Notary Public-State of Florida)
Commission No. �$�z 6 ::*':v' ea IJEAN RALPH GACHETTEI-C
mission No. �b Ht3ACHErrE
MY COMMISSION 4 FF 15226 z, Y'M`'' MY COMMISSION Y FF 152261
a,
EXPIRES:August 18,201 �, r EXPIRES:August 18,2018
Bonded Thru Nota Public Underx' Public Undembrill
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17