HomeMy WebLinkAboutBuilding Permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:i t� '
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Building Permit Application RECEIVED
Planning and Development Services JUL 2 2018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential )Permitting Departma
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PERMIT APPLICATION FOR: Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 5619 Clydesdale Lane, Port St.Lucie Florida 34987
Legal Description: Pony Pines-Uniy One Blk A Lot 11 (2.26 ac)(or 438-608,2469-928)
Property Tax ID#: 3309-605-0014-000-5 Lot No. 11
Site Plan Name: Block No. A
Project Name: Murphy
Setbacks Front _ Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install Accordion Shutters&Hurricane Screen
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all thLat appy:
HVAC Gas Tank Gas Piping X Shutters R Windows/Doors
aElectric ❑ Plumbing Sprinklers R Generator FIRoof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ to, ��b �c. Utilities:�Sewer 1:1Septic Building Height:
OWN ER/LESSEE: CONTRACTOR:
Name Margaret Murphy Name: John Zervopoulos
Address:5619 Clydesdale Lane Company: Advanced Hurricane Protection
City: Port St.Lucie State: Florida Address: 4517 SE Commerce Ave
Zip Code: 34987 Fax: City: Stuart State: FL
Phone No. 772-370-1135 Zip Code: 34997 Fax:
E-Mail: pegsellsre@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 to obtain financing, consult with lender or an attorney before
commencing work or recording o Ice f Commencement.
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/Le see/Contractor as Agent for Owner Sig ure of Co ctor/License Holder
E STA Of;tp�
CO TY OF L,u L_ .•L COUNTY OF ' \ G x A I r l
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this, day of _U 201�'by this)—i day of 201S-a' by
Name of person making stat ment Name of person making statement
Personally Known OR Produced Identification- Personally Known )!�= OR Produced Identification
Type of Identification \ Type of Identification
Produced bL Produced
(Signature of Notary Pu -State of Florida) (Signaturg of Notary Public-State of Florida)
Seal ""' % Fubuc State of Flo o
Commission No. ( ;s»N Commission No. TfJJff 11
e� sa A Ewoldt
Y = A My Commission GG 1333 5
' amed' Expires 08,110/2021
REVIEWS FRONT ZONING s4owmil PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEWS REVIEW REVIEW REVIEW REVIEW
DATE Q
RECEIVED `3 o =
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DATE y '2
COMPLETED @o c�zc
Rev. 8/2/17Xa)< 01„
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