HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO'MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q
Date: Permit Number:
RECEIVED
JUN 2 2 2018
Building Permit Application
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
Address: 3800 Ave P, Fort Pierce, FL 34947
Legal Description: SUNLAND GARDENS BLK 15 LOTS 15, 16 AND E 1/2 17 (0.46 AC)(OR 585-171)
Property Tax ID#: 2405-601-0283-000-1 Lot No.15, 16
Site Plan Name: Block No. 15
Project Name: Patricia A Pressley Hurricane shutters
Setbacks FrontX Back: X Right Side: X Left Side: X
x 02 "�e'M Y, 't.££i��
DEAII�Q DESCRIE?TIC1N{OF�W17RI�� 3 � �;
14 accordion shutters
itiona wor to e e orme— un er t is permit—c ec a appy:
HVAC - �Gas Tank ❑Gas Piping �_Shutters �Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 4,888.00 Utilities: Sewer Septic Building Height: 15 Ft.
Name Patricia A Pressley Name: Edwing Sosa
Address:3800 Ave P Company: Edwing's Unlimited Shutter Services, L.L.C.
City: Fort Pierce State:FL. Address: PO Box 881085
Zip Code: 34947 Fax: City: Port St. Lucie State:FL_
Phone No.(772)332-1730 Zip Code: 34988 Fax: (772) 905-9431
E-Mail: Phone No. (772)370-0766
Fill in fee simple Title Holder on next page(if different E-Mail: ed@edsunlimitedservices.com
from the Owner listed above) State or County License: 28457
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLE`M�NTALCONS7'aUCT1ONLI�N�LAU1r�IN ORMATION `�� �� �"�` <� �� ` �� `
DESIGNER/ENGINEER: x 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: xNot 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 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 wo recor our Notice of Commencement.
lil") I , - - i— ) NWIM '-�m"-
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contrac r/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St. 'L Lt CA e COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 3 t day of f`^ c;\v
( 20 by this�day of Jn-�_ ,20)�by
Name of person making statement / Name of p on making statement ,
Personally Known OR Produced Identification (/ Personally Known OR Produced Identification_A�
Type of Identification Type of Identification
Produced -U. Produc d
QWA/�—.�.�..".."�ANAMARCELAALARCON
(Signature of Notary Public-State of Florida) ign f N tary Publi Q6 Y Public-State ofFlorida
r — ;•. Commission k GG 135318
Commission NO.'�r _ oFs� o':' My Comm piresAug16,2021
OWL gpSljD02
Commission No. so hNationalNotaryAssn.
'P
` ;`mss Notary Public,State of Commission R FF 862lies Mal dv,I.YAW
7i i "umm,txl
REVIEWS F grouch Iii IPLANS VEGETATION SEA TURTLE MANGROVE
CO TER RE IEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17