HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED L
Date: a Permit Number:
V-']I' J _.__ _.
RECEIVED
Building Permit Application
Planning and Development Services MAR 2 8 (03$
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Resident—Idl-
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 2800 EAGLES NEST WAY, PORT ST LUCIE, FL 34952
Legal Description: EAGLES RETREAT AT SAVANNA CLUB PHASE 2
Property Tax ID#: 3424-702-0161-000-2 Lot No.42
Site Plan Name: Block No. 62
Project Name: BARBARA DISBROW
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALL 17 ACCORDION SHUTTERS
CONSTRUCTION INFORMATION:
Additional wor toe e orme un er t Is permit-check a2apply:
❑_ HVAC 11 Gas Tank Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 3133 S Ft. of First Floor: 1924
Cost of Construction: $ 6664 Utilities:Sewer E Septic Building Height: 12'
OWNERAESS'EE: CONTRACTOR:
Name BARBARA DISBROW Name: MICHAEL O'DONNELL
Address:2800 EAGLES NEST WAY Company: O'DONELL IMPACT WINDOWS&STORM PROTECTION
City: PORT ST LUCIE State:FL Address: 6402 SE FEDERAL HWY
Zip Code: 34952 Fax: City: STUART State: FL
Phone No.772-201-5520 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: richie.roberts@expeditepermit.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.
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SUPPLE # N ,,,L CONSTRUCTION LIEN LAW INFORMATION:
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
commencinia work or recording r Notice of Commencement.
s I
SigwAiure o Owner/Lessee/Contractor as Agent for Owner Si ature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA j
COUNTY OF 5r Cyet a COUNTY OF— Sr LVCI _—
Theforgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this V day of A , 20 by thisZ3 day ofA&Z-C j�- 20/1_by
Ivy LC,&-+ft-t C �' �Own- G 1 A LcVY+-6L O' bOwwt
(Name:2
f acknowledging) (Name of pers knowledging)
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(Signature of Notary Public-State o o i a) (Signature of Notary Public-State of Florida)
Personally Known C/_1 OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Roberts Commission No. (Se#
y i Roberts
NOTARY PUBLIC NOTARY PUBLIC
Revised 07/15/2014 Comm#FF958M Comm#FF958353
APE 19� Expires 6/4/2020 Expires 6/412020
REVIEWS FRONT ZONING SUPERVISOR PIANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE I I
COMPLETE I
INITIALS
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