HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �}
Date: 3 1 '{ Permit Number:L401
0,
RECEIVED
Building Permit Application
MAR O 12018
Planning and Development Services
Building and Code Regulation Division ST. Lucie 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: 6687 Dickinson Terrace, Port St Lucie, FL 34952
Legal Description: OLEANDER PINES REPLAT BLK 1 LOT 161 (0.265 AC) (OR 3076-1391; 3204-357)
Property Tax ID#: 3415-706-0032-000-3 Lot No.161
Site Plan Name: Block No. 1
Project Name: Hurricane shutters (accordion type)
Setbacks Front Back: 1 opening Right Side: 5 openings Left Side:
DETAILED DESCRIPTION OF WORK:
6 accordions shutters
CONSTRUCTION INFORMATION:
Additional work to be pertormed under this permit—check all apply:
HVAC Gas Tank E]Gas Piping Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$
15 IV "t 20 Septic Building Height: 20 ft.
OWNER/LESSEE: CONTRACTOR:
NameJoseph J Cipriano Name: Edwing O. Sosa
Address:6687 Dickinson Terrace, Company: Edwing's Unlimited Shutter Services, L.L.C.
City: Port St Lucie, State:FL. Address: 460 NW Concourse Place#16
Zip Code: 34952 Fax: City: Port St. Lucie State:FL.
Phone No.(571) 274-0436 Zip Code: 34986 Fax: (772) 905-9431
E-Mail: Phone No. (772) 370-0766
Fill in fee simple Title Holder on next page( if different E-Mail: ed@edsunlimitedservices.com
from the Owner listed above) State or County License: 28457
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: <C 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, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
i
Signature of Ow er/L see/Con ractor as Agent for Owner Signature f Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF i L c1 ke COUNTY OF
I
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this I q day of r LL r k a,y 20_LL by this\-day of 20\% by
CTT ;ci-Ac
Name of person making statement ✓ Name oqerson making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification ✓
Type of Identification Type of Identification
Produced .0 L-- Produce
l ,l CA-k CA �P- JC4
(Signature of Notar a 1� �,�x�te of FlorbJA CA L. SOSA (S' turef N tart'Public-State of Florida )
Notary Public -State of Florida
Commission No. 1 ' �'� •E Comrl► &*FF 962932 Commission No. M��iCELAAIARCON
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My Comm.Expires May 29,2020 . �•: NotaryPublic-State of Florida
- Commission N GG 135318
sit"• Bonded through National Notary Assn. My Comm.Expires Aug16 2021
'" °,`,�,:••' Bonded thr ghNaticnalNctaryAssn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION
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DATE
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DATE
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Rev. 8/2/17