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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
1
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Shutter
pROPO5 D I.Mp tOV�IVI.ENT �Qwon;,
Address: 6001 SANTA MARGARITO DRIVE. FT PIERCE, FL 34951
Legal Description: PORTOFINO SHORES-PHASE TWO(PB 43-33)
Property Tax ID#: 1312-502-0152-000-2 Lot No.402
Site Plan Name: Block No.
Project Name: JAMES GRUBB
Setbacks Front Back: Right Side: Left Side:
R�TAIL�D DESCRIPTION OF WORK; z 3 , '� tt � u
INSTALL 15 ACCORDION SHUTTERS
Additional work to be nertormed under tis permit—c ec a appy:
0H1/AC Gas Tank ❑Gas Piping Y/ Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers 11 Generator Roof Roof pitch
Total Sq.Ft of Construction: 3755 S . Ft,of First Floor: 2229
Cost of Construction:$ 9928 Utilities:Sewer Septic Building Height: 22'
.�INNR11. 5CT I�1 1 t 4.
Name JAMES GRUBB Name: Michael O'Donnell
Address:6001 SANTA MARGARITO DRIVE Company: O'Donnell Impact Windows&Storm Protection
City: PORT ST LUCIE State:FL Address: 6402 SE Federal Hwy
Zip Code: 34951 Fax: City: Stuart State:FL
Phone No.765730-1430 Zip Code: 34997 Fax: 888-833-0167
E-Mail: Phone No. 772-408-0200
Fill in fee simple Title Holder on next page(If different E-Mail: rcodonnell311®gmall.com
from the Owner listed above) State or County License: CRC1331273
If value of construction Is$2500 or more,a RECORDED Notice of Commencement is required.
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:
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 yqur Notice of Commencement.
re o'T Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF L� i
The fooing instrument was acknowledged efore me
this Z day of 20 by
MSL o 'Doty etl
(Name of person acknowledging)
Q F,:;-) -
(Signature of NotaryPublic- State of Florida )
Personally Known 0R Produced Identification
Type of Identification Produce
SiKature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF LU e, t
The forgoing instruWnt was acknowledged before me
this day of I -e6 , 20 by
A uA v) --e,( 0' bomvA I
(Name of person acknowledging )
e
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. NRYYeal)Richie Roberts Commission No.
NOTARY PUBLIC-; Richie ;� a
a 3 NOTARY PUBLIC
Revised 07/15/2014 6/�l 0� a STATE OF FLORIDA
Expires
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NOTARY 6r UBLI
+STATE OF I~IL.OINIW
Expires 6/4/2024
Expires
6//4//2_11` ��
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