HomeMy WebLinkAboutBuilding Permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /
Date: Permit Number: ' n U�
RECEIVED
JUL 2 6 1018
Building Permit Application Permitting Department
Planning and Development Services St. Lucie County
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
PROPOSED IMPROVEMENT LPCATIQN:;
Address: 10103 WILD QUAIL DR. PORT ST. LUCIE FL. 34986
Legal Description: POD 6, PUD 1, AT THE RESERVE WILLOW PINES WEST AT PGA VILLAGE, LOT 2
Property Tax ID#: 3322-621-0011-000-5 Lot No.2
Site Plan Name: THE RESERVE WILLOW PINE WEST AT PGA VILLAGE Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALL ONE ACCORDION SHUTTER ACROSS THE BACK PORCH OPENING.
CONSTRUCTION INFORMATION:
Additional work to be rformed under this—permit—check a appy:
HVAC Gas Tank E]Gas Piping �MGenerator
Shutters ❑Windows/Doors
Electric E] PlumbingSprinklers Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction: $ 2000.00 Utilities:Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameJOSEPH LAMBERTO Name: VAUGHN HOSKINS
Address:10103 WILD QUAIL DR. Company: V H EXTERIORS INC
City: PORT ST. LUCIE State:FL Address: 543 NW WAVERLYT CIRCLE
Zip Code: 34986 Fax: City: PORT ST. LUCIE State:FL.
Phone No. Zip Code: 34983 Fax: 772-871-2567
E-Mail: Phone No. 772-871-6484
Fill in fee simple Title Holder on next page( if different E-Mail: VHEXTERIORSINC@GMAIL.COM
from the Owner listed above) State or County License: 21579
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
N a m e:TOWN&COUNTRY IND Name:
Add ress:400 WEST MCNAB RD. Address:
City: FT.LAUDERDALE State: FL. City: State:
Zip: 33309 Ph one 954-970-9999 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 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.
Signatt.We of er Lessee/Contractor as Agent for Owner Signature of Co tra r/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST.LUCIE COUNTY OF ST.LUCRE
The forgoing instrument was acknowledged before me The forgoing instrum nt was acknowledged before me
this 1% day of :TV i1�_,20A_%_ by this A5 day of 41 ,20A by
VAvq\(.vv, DskI TV Avikti lAoix'lriS
Name of person making statement Name of person making statement
Personally Known�—OR Produced Identification Personally Know► OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Sign ure of Notary Public-Stat nf r1nrJrJA I ture of Notary Public-State
•. ,iEAN RALPH GACH E ;fie";•"'�R�;: J[AN RALPH GACH
Commission No. ��11 V yP' 9},,��eal �S ,2,Z`j� '• t C0MMi5S10N#FF15
:.: %1e )MYC0WISSION#FF15 ssion No. -��: ea Xv;,;GS:August 18, 1
EXPIRES:August
18, 18 ? r,
"M'?•.....d+'� ` e.. tiru Notary Public Unde
Bonded Thru Ndary Public Un writers
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17