HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE CCEPTED No
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Date: P rmit Number:
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Building Permit Ap lication
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
i Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
!PERMIT APPLICATION FOR: Shutter
:PROPOSED IMPROVEMENT LOCATION:
Address: 18704 Mach One Dr
;Legal Description: Aero Acres BLK 1 LOT 2
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;Property Tax ID#: 3215-801-0009-000-1 Lot No.2
;Site Plan Name: Robert&Nancy DiGiovanni Block No.
Project Name: DiGiovanni
Setbacks Front Back: Right Side: Left Side:
bETAILED DESCRIPTION OF'WORK:' '.
�' fyi c�Td�•t.,r 2 l( i R.r S4 rJ TTe-KS.
��IEC B,y /4Ali+JUi250 c�
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CONSTRUCTION INAORIVIATION: .
Additional work to be performed- under tispermit—checkall
pp Y:
HVAC Gas TankGas Piping —Shutters ❑Windows/Doors
ElElectric Plumbing Sprinklers ❑Generator 1:1 Roof Roof pitch
Total Sq. Ft,of Construction: S . Ft.o First Floor:
Cost of Construction:$ j gi DD Utilities. —S wer Septic Building Height:
OWNERAESSEE CON RACTOR:
Name Robert&Nancy DiGiovanni Name: Edward J. Heritage
Address:18704 Mach One DR Compa y: Folding Shutter Corp
City: Port'St.'Lucie'' FL Addres "7089 Hemstreet Place
Zip Code: 34987- =+ Fax: City; est•Paim Beach' State:FL
Phone No::508-94447029 Fax:poe:. 561-640-8204
E-Mail: .; '( 561-'683'4811
Phone o:^
Fill in fee simple Title Holder on next page(if different E-Mail: info@foldingshutters.com
from the Owner listed above) State Jr County License: SCC131151041
If value of construction is$2500 or more,a RECORDED Notice of Commen ement is required.
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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:
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.
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Signature of Owner/Les" �actor'as gent for Owner Signature of Con r icense o r
STATE OF FLORIDA STATE OF'FLORIDA
COUNTY OF Edward J.Heritage COUNTY OF Edward J.Heritage
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this LT day of 20 _by this f-7 day of Z-,'l`1 20 by
Edward J.Heritag� 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 I,/ OR Produced Identification Personally Known s'� OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FF1 g 4? (Seal) Commission No. Frt-�—O F&7 (Seal)
pRy PAMELA A.EVATS pJ1R14.9, PAMELA A.EVANS
17P 'Ot.,NOTARY PUBLIC a STATE OF FLORIDA
Revised 07/15/2014 -STATE OF FLORIDA g
; ?Comm#FF150967 �?Comm#FF150967
CE 19 Expires 10/11/2018 I. Cres
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS