HomeMy WebLinkAboutBuilding Permit Application 7 ()Li 0C101 ? °- 1('I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 6 OS • D 33`
COUNTY •N- CEtt/foReCapea
Building Permit Application pew A ' "t; A*j -
Planning and Development Services St. ag oe::a. PQ�I los
18
2300Build
ng and
ode Regulation Division
Dep
1 VirginiaCAvenue,Fort Pierce FL 34982 St QUI'a Corny ent
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 7904 Holopaw Ave , Fort Pierce FL 34951
Legal Description: Lakewood Park Unit 5-Blk 46 E 37.5 FT Of Lot 6 And All Lot 7
Property Tax ID#: 1301-605-0154-000-8 Lot No.6&7
Site Plan Name: Dewey&Charlotte Hall Block No.
Project Name: Hall -
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:. _ _
10,s9--,4 M I 3 r9cc o vv- I a$0 s G 0 Tf er2S.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all apply:
HVAC _Gas Tank nGas Piping ✓ Shutters Q Windows/Doors
ElElectric 0Plumbing Sprinklers El Generator El Roof Roof pitch
Total Sq. Ft of Construction: Sc. Ft. of First Floor:.
Cost of Construction:$ 32-1 el 3 Utilities: =Sewer ElSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Dewey&Charlotte Hall Name: Edward J. Heritage
Address:7904 Holopaw Ave 'Company: Folding Shutter Corp • .
City: Fort Pierce ,,. , State:FL " `A'ddress: 7089 Hemstreet PI
Zip Code: 34951 - . 'Fax: City: West Palm Beach State:FL.
Phone No:772-579-4685, • Zip Code: 33413 Fax: 561-640-8204
E-Mail: Phone No. 561-683-4811
Fill in fee simple Title Holder on next page(if different E-Mail: info@foldingshutters.com
from the Owner listed above) State or County License: SCC131151041
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: x Not Applicable
Name: Name:
Address: Address:
City: - State: City: State:
Zip: - Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: )Cl 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
commencing work or recording your Notice of Commencement.
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Signature of Owner/e ee Contractor--Agent for Owner Signature,of Contracto se=lolder •e •
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF QCI)�. £eCQC,h COUNTY OF Im SPG ch
The f°�r oing instr n as acknowledged before me The forging instrum� acknowledged before me
this 7 day of 20 11 by this T day of ,20 IZ by
Nerson acknowledging)
am ) (Name • •erson acknowledging)
t� Ce---- v - fes, �•
(Signature of Notary Public-S ate of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced TypeTrof Identification Produced
Commission No. FF:(SU c'e"� (Seal) PAMELA A.EVANgmmission No. FF(So g`7 (Seal)
zvkit qss PAMELA A.EVANS
NOTARY PUBLIC •,o� YAsso NOTARY PUBLIC
a ❑STA t O tLOKIDA EZ -. -.STATE OF FLORIDA
Revised 07/15/2014 W �1,. .�Comm#FF150967 0 .. V_ 4:Comm#FF150967
SINCE 191 Expires 10/11/2018 ' .`54cE 1,'►0 Expires 10/11/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS