HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �� \�1 O Permit Number:
• X11
Building Permit Application ' r _ d ;3
Planning and Development Services �;, _ucie County, Permitting
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
PROPOSED IMPROVEMENT LOCATION:
Address: 2614 Newport Dr Fort Pierce, FL 34982
Legal Description:
ORANGE BLOSSOM ESTATES-2ND ADDN-2ND PLAT BLK 7 LOTS 7 AND 8(0.72 AC)(OR 1879-2689;2324-2637)
Property Tax ID#: 2421-609-0015-000-6 Lot No.7
Site Plan Name: Block No. 7
Project Name: James Trinidad
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install new impact accordian shutters
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit-check a appy:
HVAC Gas Tank ❑Gas Piping ✓ Shutters Q Windows/Doors
Electric ElPlumbing Sprinklers I-.]Generator Roof Roof pitch
Total Sq. Ft of Construction: 5995 S . Ft.of First Floor:
Cost of Construction: $ 12820.00 Utilities:Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name James Trinidad Name: James Cody Thomas
Address: 2614 Newport Dr Company: Florida Retrofits,Inc
City: FT.Pierce State:Fl Address: 2840 Kirby Circle#3
Zip Code: 34982 Fax: City: Palm Bay State:FI
Phone No.561-262-5084 Zip Code: 32905 Fax:-
E-Mail: Phone No. 877-659-8354
Fill in fee simple Title Holder on next page(if different E-Mail: info@floddaretrofits.com
from the Owner listed above) State or County License: CCC1330830/CBC1259135
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:James Trinidad Name: James Cody Thomas
Address:2614 Newport Dr Fort Pierce,FL 34982 Address: 2614 Newport Dr
City: FT.Pierce State: City: Palm Bay State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address:2840 Kirby Cirde#3 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.
Signa Owner/Lessee/Co tractor as Agent for Owner Signature Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF arc COUNTY OF
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of —,20 this day of 20ZE by
41
-Name of person making statement Name of person making statement
Personally w _OR Produced Identification PersonaIIy—Kffawn-: OR Produced Identification
Type of Identification Type of Identification
Produced Produced
n— `F
(Signatu o to., �I r�i�la� (Signatu e o -State of Florida
1833
SHARON LISA BLA HIP
Commiss ri74�,!; '" EXPIFsES August 2(tiAW Commission
(401)399"0153 Floriduflutaryservice,com i"N iISSION F 3833
EXPIRES August 24, 2018
407 398-0153
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE T I
COMPLETED
Rev.8/2/17