HomeMy WebLinkAboutBuilding Permit Application C) 'l 3o Rn(at)
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a� ' l� Permit Number:
RECEIVED '
Building Permit Application MAY 2 4 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
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: 6905 Sebastian Rd, Fort Pierce, FL 34951
Legal Description: Lakewood Park-Unit 12-Blk 161 lot 15(map 13/12S)(or 3628-2719)
Property Tax ID#: 1301-614-0133-000-3 Lot No. 15
Site Plan Name: Nicole Havee Block No. 161
Project Name: Havee
Setbacks Front_,, Back: Right Side: ✓' Z Left Side:
DETAILED DESCRIPTION OF WORK:
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CONSTRUCTION INFORMATION:
Additional work to b rtormed under this permit—check all appy:
HVAC Gas Tank F]Gas Piping Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ � ��a Utilities:'nSewer I Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Nicole Havee Name: Edward J. Heritage
Address:6905 Sebastian Rd Company: Folding Shutter Corp
City: Fort Pierce State:FL Address: 7089 Hemstreet PI
Zip Code: 34951 Fax:n/a City: West Palm Beach State:FL
Phone No.772-216-2592 Zip Code: 33413 Fax: 561-640-8204
E-Mail: n/a 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: z 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
commencing work or recording our Notice of Commencement.
S
Signature of Owner/L e Contractor-as Agent for Owner Signature of Co or License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Pa m Beach COUNTY OF Pam Beach
The f r oing instrum nt was acknowledged before me The forgoing instrument was acknowledged before me
thisday of •4y 20 Eby this day ofi4 20 by
Edward J.Heritag6 Edward J.Heritage
(Name of erson acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida ) (Signature of Notary Public-State of Florida )
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Producerd7 Type of Identification Produced
Commission No. r FLSO4` i (Seal) Commission No. F r 1 Sa 94-7 (Seal)
otnRyas PAMELA A. EVAN p�Qy PAMELA A. EVANS
s NOTARY PUBLIC �' NOTARY PUBLIC
=STATE OF FLORIDA ESTATE OF FLORIDA
Revised 07/15/2014 "? Comm#FF150967 _ z "� Comm#FF150967
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE JI
INITIALS