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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: .Z • ��• 1� Permit Number: SO q
RECEIVED
BuildingPermit Application pP FEB 13 2018
Planning and Development Services
Building and Code Regulation Division FsT. ucie Gqunty, 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: 7302 MYSTIC WAY. PORT ST. LUCIE FL.
Legal Description: MYSTIC PINES AT THE RESERVE, LOT 17
Property Tax ID#: 3322-620-0022-000-2 Lot No.17
Site Plan Name: Block No.
Project Name: MYSTIC PINES AT THE RESERVE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: . : . ...
INSTALL 28 GAUGE STEEL HURRICANE STORM PANELS ON 18 - OPENINGS
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that appy:
HVAC Gas Tank ❑Gas Piping ✓ Shutters a Windows/Doors
11 Electric ❑ Plumbing Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
se0
Cost of Construction:$ o�+ Utilities: Sewer E]Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name GEORGE PETROLE Name: VAUGHN HOSKINS
Address:7302 MYSTIC WAY Company: V H EXTERIORS INC
City: PORT ST. LUCIE State:FL. Address: 543 NW WAVERLY CIRCLE
Zip Code: Fax: City: PORT ST. LUCIE State:FL.
Phone No.610-577-6665 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.
, �
a,
I Mail
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 Phone954-970.9999 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 thepermit 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
befo a the first inspection. If you intend to obtaip financing, consult with le er or an attorney before
corridgencing work or recording our Notice of Commencement.
Signat a of Owe Les a/Con r as Agent for Owner Signature of Contra r nse Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST.LUCIE COUNTY OF ST IUCF
The forgoing instrum nt was acknowledged before me The forgoing instrume was acknowledged before me
this 12 day of 1'Et, 20A by this 1�, day of Q ,20% by
�levS)L'W k�6S)r, I lin u04ki'W4
Name of person making statement ame of person making statement
Personally Known v OR Produced Identification Personally Knowny OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Sig re of Notary Public-State of Florida ) (Si ture of Notary Public-State of Florida )
Commission No. 511 �( (SeJHhN HGACHETTE ommission No. �SZ
••'•r'v"•., +'o JEAN�,�II�ACHEITE
My COtu1M�5510N FF 152261 = MY COMMISSION A FF 152261
*`
EXPIRES-August 18,2018
"ad Thru Notary PublicUndewdter ?.a, id EXPIRES:August 18,2018
Bonded Thru Notary Public UndewNr tors
16
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17