HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: �SIG, C 11
- , -_ �/ RECEIVED
Building Permit Application APR 2 5 2018
Planning and Development Services ST. Lucie 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:
Legal Description: Lake Lucie Estates Plat#1 Lot 18
Property Tax ID#: 3426-703-0032-000-8 Lot No.18
Site Plan Name: Block No.
Project Name:
Setbacks Front N/A Back: N/A Right Side: N/A Left Side: N/A
DETAILED DESCRIPTION OF WORK:
INSTALL HURRICANE PANELS ON 10 OPENINGS AROUND HOUSE
CONSTRUCTION INFORMATION:
Additional work toe erformed under this permit—check a appy:
HVAC Gas Tank ❑Gas Piping M
Shutters Windows/Doors
1:1Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 5328.00 Utilities:0 Sewer R Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name - Ct (L (_ h Name: ( y'y r1 t:- (� e r
Address: 12 ',-A Sana Pi o L C� r Company: A Quality Construction, LLC
City: 1'04 L1 t State:FL
Address: 5�`
Zip Code: 34952 Fax: City: - State:FL
Phone No.772-342-5330 Zip Code: 34981 Fax:
E-Mail: Phone No. 772-343-0805
Fill in fee simple Title Holder on next page(if different E-Mail: Aquality0l@bellsouth.net
from the Owner listed above) State or County License: CBC 1257739
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: —4 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:
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 thepermit 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 pr perty. A Notice of Commencement must be reco ded and posted on the jobsite
before the first inspect! . If you intend to obtain financing, consult with nder or an attorney before
commencin work or-Acording your Notice of Commencement. i
Signatur=FLORIDA
r/Le a Contractor as Agent for Owner Signa a of Co Tactor/Licens�HoNr
STATE (( _:, ATE OF FLORIDA
COUNTY OF �A. L\J �� COUNTY OF Ur,(
The f r oin g instr ent was acknowledgg before me The�forLplging instr ent W s acknowledge efore me
this day of 20 I� by this 2E day of 2014 by
Name of person making statement Name of person making statement /
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of IdentifiQAtien Type of Identificat4e-
Produced Produced
i
l_
(Signature of Notary Public-State of Florida) (Signature of Notary to of Olorida)
r
Commission No. KA Commission No. KARL EL ENS,
�7 5 NIELSEN O�mmr ' NI E--`.
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Z Commission t FF 1 i 5637 !i •nr;;o�.` My o N FF 1 5
Com _',`,r 37
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M mrssron Ex rrN J Ton Ex i
_ une 12, 2018 0)8
REVIEWS FRONT ZV PLANS VEGETATION SEAT URTLE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17