HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 13 I I
OW -7 ll i�
Permit Number: I� 3 V W/
RECEIVED
�.�.
MAR 13 1018
Building Permit Application
Planning and Development Services
Permitting Department
St. Lucie County
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
0
PROPOSED IMPROVEMENT LOCATION:
Address: 81 AQUA RA DR. JENSEN BEACH FL.
Legal Description. RIVER WATCH BILK 4, LOT 1
Property Tax ID #: 4511-815-0010-000-6
Lot No.1
Site Plan Name:
Block No.
Project Name: RIVER WATCH
Setbacks Front Back: Right Side:
Left Side:
LED DESCRIPTION OF WORK:
EDTAIINSTALL
TWO ACCORDION SHUTTERS ON THE BACK OF THE HOUSE.
CONSTRUCTION INFORMATION:
Additional wor to e er ormed under this permit — c ec
a appy:
HVAC Gas Tank ❑Gas Piping
Shutters a Windows/Doors
FlElectric 0 Plumbing 1:1U Sprinklers
E]Generator E]Roof Roof pitch
Total Sq. Ft of Construction:
SFt. of First Floor:
Cost of Construction: $ 1320.00 Utilities: Sewer Septic Building Height:
-
OWNER%LESSEE:
CONTRACTOR:
Name KATHY PAPARONE
Name: VAUGHN HOSKINS
Address: 81 AQUA RA DR.
Company: V H EXTERIORS INC
City: JENSEN BEACH State:FL.
Address: 543 NW WAVERLY CIRCLE
Zip Code: 34957 Fax:
City: PORT ST. LUCIE State: FL.
Phone No. 609-457-7674
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
State or County License: 21579
from the Owner listed above)
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
Name: TOWN & COUNTRY IND
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 400 WEST MCNAB RD,
City: FT. LAUDERDALE State: FL.
Zip: 33309 Phone954-970-9999Zip:
Address:
City: State:
Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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
c mmencin w rk or recording our Notice of Comme cerrXent.
Rev. 8/2/17
Signature of O er/ Lessee/Contractor as Agent for Owner
Signature of Co tractor License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFS, ME
COUNTY OF S1 LUCIE
The forgoing instrument was acknowledged before me
Theforgoing instrument was acknowledged before me
this V day of mac G% _20%b by
this day of M (RP OL4► , 201% by
��vc�hr �\rjiklbS
64X)k3
Name of person making statement
Name of person making statement
Personally Known -4 OR Produced Identification
Personally Known r OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
GG
(Si tu
are of Notary Public- State of Florida)
(Sig ature of Notary Public- State of Florida )
Y k 1511
Commission No. ,'�^ °i''•: RAIrHGACHE 1E
,
Commission No. JEAN
_*.' .. MY COMMISSION # FF 152261
=*: '•+`_ MY COMMISSION/ FF 152261
' a EXPIRES: August 18, 2018
..,
`4 EXPIRES: August 18, 2018
° :R •' Bonded Thru Nota Publ c Und
REVIEWS
FRONT
PLANS
VEGETATION SEA TURTLE MANGROVE
ZONING
SUPERVISOR
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17