HomeMy WebLinkAboutBuilding Permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: kn --; J 63'S9
Building Permit Application MAR 13 2018
Planning and Development Services Pe gta
lttfng oePartmer
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Lucie coljn'.
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Shutter 0
PROPOSED IMPgQy MENT LOCATION:
Address: 9105 ONE PUTT PLACE PORT ST. LUCIE FL.
Legal Description: LAKES AT PGA VILLAGE, BLK C, LOT 14
Property Tax ID #: 3334-501-0116-000-9
Site Plan Name: LAKES AT PGA VILLAGE
Project Name: _
Setbacks Front
Back: Right Side: Left Side:
Q;
DETAILED DESCRIPTION OF WORK: ��
INSTALL 17 - ACCORDION SHUTTERS.
Lot No. 14
Block No. C
CONSTRUCTION INFORMATION:
Additional work to be ertormed under this permit- check all appy:
HVAC Gas Tank F]Gas Piping ✓ Shutters Windows/Doors
❑ Electric ❑ Plumbing ❑ Sprinklers ❑ Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 10591.00
SFt. of First Floor:
Utilities:]Sewer Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name LAWRENCE LONG
Name: VAUGHN HOSKINS
Address: 9105 ONE PUTT PLACE
Company: V H EXTERIORS INC
City: PORT ST. LUCIE State:FL.
Zip Code: Fax:
Phone No. 313-408-2008
E -Mail:
Address: 543 NW WAVERLY CIR.
City: PORT ST. LUCIE -State-FL.
Zip Code: 34983 Fax: 772-871-2567
Phone No. 772-871-6484
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: VHEXTERIORSINC@GMAIL.COM
State or County License: 21579
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
_=
deg" , L".
DESIGNER/ENGINEER: X_ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: TOWN 8 COUNTRY IND
Name:
Address: 400 WEST MCNAB RD.
Address:
City: FT. LAUDERDALE State: FL.
City: State:
Zip: 33309 Phone 954-970-9999
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 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
commencin w rk or recording our Notice of Commencement.
V
Signature of Contra r/License Holder
Signature of Owne Les a/Contractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF. ST WOE
COUNTY OF ST LUCRE
The fprgoing instrument was acknowledged before me
Theforgoing instrument w s acknowledged before me
this _ day of X1) &► Lin , 201% by
this 1p day of RC 20Ab by
\64kini
� 4'JAhr% 1�0�krh
Name of person making statement
Name of erson making statement
Personally Known'--AOR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Sig ture of Notary Public- State of Florida)
(Si ature of Notary Public- State
Commission No. IS1 ,.`p' y,, � ►> LPHGACHE152
JEAN RALPH
Commission No. 1 MYCOMMIS?gl0 k)FFE52261
` MY COMMISSION # FF 152261
`*' *''•
1a• ?d EXPIRES: August 18, 2018
: _
a EXPIRES: August 18, 2018
^•,
Bonded Thru Notary Public c Unde►wr ters
•.� Bow Thru Notary Pudic Underwriters
REVIEWS
FRONT ZONING
SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW
REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17