HomeMy WebLinkAboutBuilding Permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ,\ /�{ (�
Date: Permit Number: U� V✓�'F�
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Building Permit Application JUL 231018
Planning and Development Services Perrnittin
Building and Code Regulation Division St. Lucie coou^ tyent
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 6208 Santa Margarito Dr, Ft.Pierce 34951
Legal Description: Portofino Shores (PB 43-6) Lot 88 (or 2051-2497)
Property Tax ID#: 1312-501-0023-000-6 Lot No. 88
Site Plan Name: Portofino Shores Block No.
Project Name: Collins
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install Accordion Shutters
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit-check a appy:
HVAC 13 Gas Tank []Gas Piping X Shutters ❑Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ -7,// Soo.0.0 Utilities:�Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Richard Collins Name: John Zervopoulos
Address: 6208 Santa Margarito Dr Company: Advanced Hurricane Protection
City: F .PweTee State: FL Address: 4517 SE Commerce Ave
—
Zip Code: 34951 Fax: City: Stuart State: FL
Phone No. 954-829-4900 Zip Code: 34997 Fax:
E-Mail: rickcollins@bellsouth.net Phone No. 772-220-1200
Fill in fee simple Title Holder on next page(if different E-Mail: john@advancedhurricane.net
from the Owner listed above) State or County License: CBC1259339
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: _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 property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend tain financing, consult with lender or an attorney before
commencingwork or recordingotice f Commencement.
S' nature of Ow r Lessee/Contractor as Agent for Owner S' ature of ractor/License Holder
TE OF ID S FLORIDA
COUNTY F �� t COUNTY OFt'n
The forgoing instrument was acknowledged before me The foroing instrument was acknowledged before me
this day of 20��jby this��day of 20 by
�_Ih n 7_ci� ��IN 1,.) 's ."a 7eryn phi koS
Name of person making st tement Name of persog making statement
Personally Known OR Produced Identification 7L Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signature of Notary Publi rZate of Florida) (SignaturJ of Notary Public-State
V�'Y rp Notary Pubuc state of FI ida
Commission No. (Seal) Commission No =° ael�ssa A Ewoldt
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= e� My Commimon GG t 3 5
Expires 081012021
REVIEWS FRONT ZONING PRrY�30 PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW R �m REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED _
DATE
COMPLETED 4ba:v o0
Rev.8/2/17 03
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