Loading...
HomeMy WebLinkAboutBuilding Permit Application [FALLAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: l 1 l( ' Permit Number: nk_�O ©C/ RECEIVED Building Permit Application JAN 18 2018 Planning and Development Services Building and Code Regulation Division ST, Lucie Aunty, Permitting 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x PERMIT APPLICATION FOR: Shutter VPROPOSED34MPROVEMENT LOCATION: Address: 16675 C 24 CANAL ROAD Legal Description: 24 36 38 NE 1/4-LESS E 70 FT TO SLC AND LESS THAT PART OF W 1/2 OF NE 1/4 LYG W OF EXISTING RD(LESS C-24) TOGETHER WITH THAT PART OF N 1/2 OF SE 1/4 LYG E OF EXISTING RD AND N OF CIL OF EXISTING CANAL-LESS E 70 FT TO SLC-(205.99 AC)(OR 3885-2348) Property Tax ID#: 3224-111-0002-000-2 Lot No. Site Plan Name: Block No. Project Name: ew LS Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: �k INSTALLATION OF HURRICANE SHUTTER. CONSTRUCTION INFORMATION: Additional work toe oertormed under this permit—check all lLat appy: HVAC 0 Gas Tank 0Gas Piping 21 Shutters E]Windows/Doors Electric 0 Plumbing 11 Sprinklers E]Generator Roof Roof pitch Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction: $ 10,010,00 Utilities: Sewer E]Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name LA POTENCIA II LLC Name: JOHN C.FISCHER Address:4036 PACAYA CIR Company: ARMOR SCREEN CORPORATION City: BOCA RATON State:FL Address: 2744 HILLSBORO ROAD Zip Code: 33487 Fax: City: WEST PALM BEACH State:FL Phone No.561.441.8537 Zip Code: 33405 Fax: 561.841.8892 E-Mail: Phone No. 561.841.8890 Fill in fee simple Title Holder on next page(if different E-Mail: installation@armorscreen.com from the Owner listed above) State or County License: CGC1522990 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLED, ENTAL.CONSTRUCTION. LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable Name:LA POTENCIA II LLC N a me:JOHN C.FISCHER Address:16675 C 24 CANAL ROAD Address: 4036 PACAYA CIR City: BOCA RATON State: City: WEST PALM BEACH State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address:2744 HILLSBORO ROAD 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,skimming 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. orf J Signature of ner/Lessee/Contractor as Agent for Owner Signatiiotof Contractor/License Holder STATE OF FLORID STATE OF FLORIDA PL-IX �'�COUNTY OF1�6 COUNTY OF The f r oing instr t as acknowledged before me The forgoing instrument was acknowledged before me this�day of 204 by this day of �}tttYl�L, 201=1 by Name of p r n ma ing statement Name of person making statement Personally Known OR Produced Identification Personally Known / OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public-State off�Florida) (Signature of Notary Public-State of Florida) Commissio �/ (S a Com OODW l� `,o'W;�',, .,' KIM A.NOTORIS Notary Public,State of Florida : e Notary Public-State of Florida My comm.expires Mar.23,2021 • _ My Com .Expires May 9,2021 Bo ded thru Ashton A enc Inc. 8 4 4 REVIEWS !.. bNondedthruc3ZQBIlNGYAssn. UPERVISOR PLA MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17